Chronic Anal Fissure
Conditions
Brief summary
the study conducted to assess if there is an effect of Extracorporeal Shock Wave Treatment on anal fissure
Detailed description
Design of the study: A prospective, randomized, blind, paired (right/left) comparison. Materials: Measurement tool: * healing of anal fissure, * Wexner Constipation Scoring System * anal pain intensity by means of a 10-point visual analogue scale (VAS) Therapeutic instruments: •. shock waves • topical application of 0.4% glyceryl trinitrate (GTN) ointment Methods: • Testing procedures: The assessment will be performed before commencing treatment, after 4 and 8 weeks of the treatment. • Treatment procedures: Patients will be assigned randomly into two groups equal in number: shock waves Group: twenty patients will receive the shockwaves on perianal area of for 4 weeks (3 sessions /week). control Group: twenty patients will receive the recommended routine medical treatment include topical application of 0.4% glyceryl trinitrate (GTN) ointment only..
Interventions
DEVICEshock master (shock waves device)
device produces shock waves
Sponsors
Cairo University
amr bayoumi salama
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* patient with chronic anal fissure * symptomatic for at least 6 months * failed conservative measures
Exclusion criteria
* Pregnant women, * cardiac patients, * patients with a pacemaker, * low molecular heparin or warfarin treatment, * neurological disease,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS | up to 3 months | assessment of pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| wexener scale | up to 3 months | assess the constipation |
Countries
Egypt
Outcome results
None listed