Publication

[Anal fissure--a new therapy concept]

Journal Paper/Review - Aug 24, 2000

Units
PubMed

Citation
Hetzer F, Baumann M, Röthlin M. [Anal fissure--a new therapy concept]. Praxis 2000; 89:1317-21.
Type
Journal Paper/Review (Deutsch)
Journal
Praxis 2000; 89
Publication Date
Aug 24, 2000
Issn Print
1661-8157
Pages
1317-21
Brief description/objective

The anal fissure is one of the most frequent causes for anal pain. Conservative treatment usually consists of laxatives, local anesthetics and nitroglycerin cream. These therapies have a high recurrency rate. Surgical interventions, i.e. manual dilatation and sphincterotomy are fraught with the danger of fecal incontinence. The completely reversible effect of botulinum toxin injection opens new possibilities in the treatment of anal fissures. Its use is discussed as part of a 3-stage therapeutic regimen.