Abstract
Chronic anal fissure is an ischemic ulcer related to hypertonic sphincter. Pain and bleeding are the most common complaints. In first instance, treatment combines laxatives, analgesic and ointments. Topical nitrates represent a challenging alternative to surgery where non-specific approaches failed.
MeSH terms
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Analgesics / administration & dosage
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Analgesics / therapeutic use
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Botulinum Toxins, Type A / administration & dosage
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Botulinum Toxins, Type A / therapeutic use
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Calcium Channel Blockers / administration & dosage
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Calcium Channel Blockers / therapeutic use
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Chronic Disease
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Cicatrix
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Fissure in Ano* / diagnosis
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Fissure in Ano* / drug therapy
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Fissure in Ano* / surgery
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Humans
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Laxatives / administration & dosage
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Laxatives / therapeutic use
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Ointments
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Recurrence
Substances
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Analgesics
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Calcium Channel Blockers
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Laxatives
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Ointments
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Botulinum Toxins, Type A