A group of consecutive patients undergoing manual dilatation of the anus between and were reviewed retrospectively by examining the clinical presentation, diagnosis, treatment and outcome. Anal fissure was diagnosed in 46 patients, 22 had either first-or second-degree haemorrhoids, and stenosis of the anal canal was identified in seven. Manual dilatation of the anus was performed on 25 patients in the absence of a diagnosis. Dilatation failed to treat 26 anal fissures successfully.
It has fallen out of favor in recent years, primarily due to an unacceptably high incidence of fecal incontinence. In addition, anal stretching can increase the rate of flatus incontinence. Our surgeons educate patients on all the available treatment methods so they can make informed decisions about their own health. With years of education, training and research under their belts, our doctors know what procedures offer the best results. This is why it is crucial to meet our colorectal experts in person to discuss your surgical options for treating anal fissures. To learn more about fissures and other colorectal conditions, please visit WebMD. Anal stretching is a procedure in which doctors manually stretch the anal sphincter in order to relieve the pressure.
Discover therapies and remedies for the treatment of anal fissures and how to prevent them. The choice of treatment for anal fissures depends on the patient history and on the characteristics of the disease. The prevention of fissures is based on a balanced lifestyle and on correct hygiene and food habits. Here are a few tips to alleviate the symptoms of anal fissures in milder cases or to prevent their onset:.
Try out PMC Labs and tell us what you think. Learn More. Fissure in ano is a troubling and painful condition that affects a great majority of the population world over. The nature and anatomy of fissure in ano is quite clear, and much is known about the various predisposing and contributing factors that lead to initiation and progression of the disease. The preferred method of treating them, one that results in optimal clinical results and the least pain and inconvenience to the patient, however, has been open to debate.