Chronic anal fissure. Chronic anal fissure
Conditions
Interventions
Intervention 1: Intervention group: In tailored Sphincterotomy group , a No. 34 purse-string anoscope will be inserted and rotated circumferentially. Any areas of tightness will be incised using elect
Sponsors
Oroumia University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age between 18-65 old years Chronic anal fissure lasting more than one month Exhibiting signs of chronicity upon anal examination such as the presence of a skin tag Vsible fibers of the internal anal sphincter at the base of the wound
Exclusion criteria
Exclusion criteria: Patients with acute fissures Coexicted fissure with fistula or inflammatory bowel disease A history of systemic diseases A history of anal surgery (for fissure, fistula, or hemorrhoids) Fecal incontinence Perineal tears following delivery Prior radiotherapy Use of corticosteroids or other immunosuppressive drugs pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete treatment of Fischer. Timepoint: Weeks one, four, eight, and 6 months after surgery. Method of measurement: Clinical examination.;Gas incontinence. Timepoint: Weeks one, four, eight, and 6 months after surgery. Method of measurement: Questioning the patient.;Fecal incontinence. Timepoint: Weeks one, four, eight, and 6 months after surgery. Method of measurement: Questioning the patient. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain score. Timepoint: After surgery during recovery. Method of measurement: Visual Analogue Scale (VAS).;Dosage of analgesia. Timepoint: 24 hours after surgery. Method of measurement: Milligram. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Naser Masoudi
Oroumia University of Medical Sciences
Outcome results
None listed