A non-operative management of chronic anal fissure.: A study of 50 cases at town teaching hospital, Peshawar

Azhar Shah

doi:10.37762/jgmds.4-2.19

Authors

Azhar Shah, Dr. Town Teaching Hospital

DOI:

https://doi.org/10.37762/jgmds.4-2.19

Keywords:

Anal Fissure, glyceryl trinitrate, Headache

Abstract

OBJECTIVES
Assessment of efficacy of topical 0.2% glyceryl trinitrate ointment in the treatment of chronic anal fissure.
PATIENTS AND METHODS
A prospective study was carried out at surgical outpatient department Town Teaching Hospital from January 2017 to July 2017. Fifty consecutive patients were treated with 0.2% glyceryl trinitrate ointment and reviewed at 3, 6 and 12 weeks interval. Data was collected on a designed questionnaire.
RESULT
At six weeks fissure healed in 70% patients. There was significant reduction in the symptoms of pain, bleeding and irritation. 30% Patient treated was not successful. At 03 months interval there was no recurrence with 70% healing rate. Patients whose fissure healed reported an improvement in bodily pain, health perception, vitality and mental health.
CONCLUSION
The use of topical 0.2% glyceryl trinitrate has proved to be as effective option in managing chronic anal fissure with 70% healing rate in this study bearable side effect and it leads to improvement in health related quality of life.

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