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Patients were also administered a personal questionnaire about their quality of life analyzing the results according to the Agachan-Wexner score [ 13 ]. However, this method required a long application time and duration of treatment for effective results. The use of nitroglycerine creams or botulinum toxin appears to be a palliative treatment, with rapid loss of effectiveness, and it is often poorly tolerated because of unpleasant side effects [ 4 - 8 ]. Table 2 Signs and symptoms of patients at the end of their treatment, and at 3 and 6 months after treatment. Randomised controlled trial shows that glyceryl trinitrate heals anal fissures, higher doses are not more effective, and there is a high recurrence rate. Results of a multicenter, randomized, placebo-controled, double-blind trial. Therefore, a first therapeutic approach is habit regularization, especially as a preventive maneuver.

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Published by slave-by-rawon. Introduction The anal fissure is an extremely common proctologic disease, but the choice of the most appropriate therapy is still difficult. Methods Fifty patients with a clinical diagnosis of AF were randomly assigned to one of the treatments, self-massage of the anal sphincter group A, 25 patients or passive dilatation using dilators group B, 25 patients. The widely held belief is that internal anal sphincter hypertonicity is a determining factor in the development of an anal fissure. The conservative treatment of anal fissure relies on the observation of hygienic-dietary measures, obtaining a regular bowel movement, and the use of muscle relaxants or anesthetics. The success rates are higher and the rate of recurrence is lower compared with anal dilator therapy. However, anal self-massage involves lower treatment times and costs.

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Published online May A controlled clinical trial. Personally, I prefer much bigger toys Signs and symptoms of patients at the end of their treatment, and at 3 and 6 months after treatment.

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