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Re-examination of clinical manifestations and response to therapy of fissure-in-ano. Exclusion criteria were concomitant anal pathology anorectal fistulae, abscesses , previous surgery on the pelvic floor, inflammatory bowel disease, and therapy with nitrates. Journal List Ann Gastroenterol v. The analysis of the questionnaire on quality of life showed an average of 6 on a scale of
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Aga Technical Review On Anorectal Testing Techniques
Moreover, the long-term efficacy of these medical treatment has not been proven [ 17 - 20 ]. The use of anal self-massage with a finger appears to induce a better resolution of acute anal fissure than do anal dilators, and in a shorter time. Nitroglycerin ointment for anal fissures. American Gastroenterological Association medical position statement. The patients were randomized using a number table to treatment with self-massage of the anal sphincter group A, 25 patients or passive dilatation of the anal sphincter using dilators group B, 25 patients. Therefore, a first therapeutic approach is habit regularization, especially as a preventive maneuver.
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Nitroglycerin ointment for anal fissures. Treatment of fissure in ano. National Center for Biotechnology Information , U. Through anal self-massage, the patient modulates the action of dilating, making the therapy more effective and performing real biofeedback compared to therapy with anal dilators. The anal fissure is an extremely common proctologic disease, but the choice of the most appropriate therapy is still difficult. The analysis of the VAS score showed a progressive decrease during the follow up, but there were no significant differences in the two groups. Therefore, a first therapeutic approach is habit regularization, especially as a preventive maneuver.
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