Precise calibrated anal sphincter dilatation
A review of chronic anal fissure management
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Description:Patients will then utilize an anal dilator intermittently for a period of 6 months. As a consequence, therapies that reduce IAS pressure have been used for fissure healing. Many chronic fissures do not heal with aggressive local measures and are considered for lateral sphincterotomy. Discussion We have shown that LIS and BT injection treatment modalities have had similar effects on internal anal sphincter pressures, have similar fissure healing rates and no recurrence in long-term follow-up. Using fingers, the doctor will massage and apply correct pressure on the constricting band of muscle. We injected the BT on each site of the fissure, mainly to the posterior of the anal sphincter.