Open AccessBotulinum toxin associated with fissurectomy and anoplasty for hypertonic chronic anal fissure: A case-control study
Author(s) -
Beatrice D’Orazio,
Girolamo Geraci,
Fausto Famà,
Gloria Terranova,
Gaetano Di Vita
Publication year - 2021
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v9.i32.9722
Subject(s) - medicine , internal anal sphincter , hypertonia , surgery , botulinum toxin , urethral sphincter , anorectal manometry , tonicity , anesthesia , anal fissure , defecation , anal canal , rectum , urethra
Lateral internal sphincterotomy is still the approach of choice for the treatment of chronic anal fissure (CAF) with internal anal sphincter (IAS) hypertonia, but it is burdened by high-risk postoperative faecal incontinence (FI). Sphincter saving procedures have recently been reconsidered as treatments to overcome this risk. The most employed procedure is fissurectomy with anoplasty, eventually associated with pharmacological sphincterotomy.