Outcome of Surgical and Medical Management of Anal Fissure

Abstract

Objective: To study the outcome of Surgical and Medical treatment of Anal Fissure.

Study Design: Prospective study

Place and Duration of Study: This was study carried out in Surgical Department of Ghazi Khan Medical College, Dera Ghazi Khan, from January 2014 to December 2014.

Materials and Methods: A total of 75 patients form Surgical OPD were included in the study. Patients having anal fissure were diagnosed clinically and were selected according to inclusion criteria.

Results: Out of 75 patients, 49 (65%) were male and 26 (35%) were female patients. The patients were from the ages of 23 to 54. Painful defecation was present in all the patients (100%), constipation in 67 (90%) patients, whereas bleeding per rectum in 52(70%). Sentinel pile was seen in 50 (67%) patients and associated superficial fistula only in 1 patient.

Conclusion: it is concluded that lateral internal sphincterotomy is the most effective way of treatment of chronic anal fissure, whereas chemical sphincterotomy with topical glyceryl trinitrate is relatively less effective.