Six-month follow up of fissurectomy with or without anoplasty for chronic anal fissure: low recurrence rate and no effect on continence
BACKGROUND The management of CAF at a time shifted from surgical to medical treatment; chemical sphincterotomy through nitric oxide (NO) donors, calcium-channel blockers or botulinum toxin combined with stool softeners and life-style changes. In resistant CAF, the surgical choice is necessary. Lateral internal sphincterotomy (LIS) has long been the gold standard. Its early results have been favourable, but there is ... Read more