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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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Description: Support Center Support Center. However, this method required a long application time and duration of treatment for effective results. Table 2 summarizes the characteristics of patients and symptoms after treatment, and at 3 and 6 months after the procedure. All patients agreed to be included in the study and gave their signed, informed consent to randomization. The aim of the study was to compare the efficacy of two conservative treatments, the use of anal dilators or a finger for anal dilatation, in reducing anal pressure and resolving anal fissures. Circular motion of the finger for 10 min twice a day for a further 5 days. The method is cheap, provides a simple solution to the problem, and offers higher success rates than conventional dilators, without the risk of anal continence. Our hypothesis is that the massage of the anal sphincter, in addition to the passive dilatation obtained by the finger, induces a relaxation of the hypertrophic and hyper-contracted anal sphincter, through a negative central feedback mechanism. Please review our privacy policy.
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