Abstract
Patients often present to general and colorectal clinics with symptoms of anal fissures and can even present acutely to hospital. Conservative remedies have healing rates of up to 85% and have largely replaced surgery as first-line management. This review highlights the cardinal points in the aetiology, pathogenesis and treatment of anal fissures.
MeSH terms
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Anal Canal / surgery*
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Botulinum Toxins / therapeutic use
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Calcium Channel Blockers / therapeutic use
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Dilatation / methods
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Fissure in Ano / diagnosis
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Fissure in Ano / etiology
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Fissure in Ano / therapy*
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Humans
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Isosorbide Dinitrate / therapeutic use
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Nitroglycerin / therapeutic use
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Surgical Flaps*
Substances
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Calcium Channel Blockers
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Botulinum Toxins
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Nitroglycerin
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Isosorbide Dinitrate