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Pinsk I, Czeiger D, Lichtman D, et al. The Long-term Effect of Standardized Anal Dilatation for Chronic Anal Fissure on Anal Continence. Ann Coloproctol. 2020;37(2):115-119doi: 10.3393/ac.2020.03.16.
Pinsk, I., Czeiger, D., Lichtman, D., & Reshef, A. (2021). The Long-term Effect of Standardized Anal Dilatation for Chronic Anal Fissure on Anal Continence. Annals of coloproctology, 37(2), 115-119. https://doi.org/10.3393/ac.2020.03.16
Pinsk, Ilia, et al. "The Long-term Effect of Standardized Anal Dilatation for Chronic Anal Fissure on Anal Continence." Annals of coloproctology vol. 37,2 (2021): 115-119. doi: https://doi.org/10.3393/ac.2020.03.16
Pinsk I, Czeiger D, Lichtman D, Reshef A. The Long-term Effect of Standardized Anal Dilatation for Chronic Anal Fissure on Anal Continence. Ann Coloproctol. 2021 Apr;37(2):115-119. doi: 10.3393/ac.2020.03.16. Epub 2020 Mar 16. PMID: 32178506; PMCID: PMC8134927.
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Ann Coloproctol. 2021 Apr;37(2):115-119. doi: 10.3393/ac.2020.03.16. Epub 2020 Mar 16.

The Long-term Effect of Standardized Anal Dilatation for Chronic Anal Fissure on Anal Continence.

Annals of coloproctology

Ilia Pinsk, David Czeiger, Daria Lichtman, Avraham Reshef

Affiliations

  1. Unit of Colorectal Surgery, Soroka University Medical Center, Beer-Sheva, Israel.
  2. Department of General Surgery, Soroka University Medical Center, Beer-Sheva, Israel.

PMID: 32178506 PMCID: PMC8134927 DOI: 10.3393/ac.2020.03.16

Abstract

PURPOSE: For the past several decades, internal anal sphincterotomy has generally been considered to be the standard operation for an anal fissure. However, wound complications inherent in this operation forced surgeons to look for an alternative form of treatment. The aim of our study was to evaluate the long-term outcome of anal dilatation for chronic anal fissure, especially possible negative impact on anal sphincter function.

METHODS: The study was approved by the local Institutional Review Board and given a waiver of written consent. A phone call survey was undertaken among a group of consecutive patients who had an anal dilatation by standardized technique for chronic anal fissure for the period between 2000 and 2016. The survey included medical, obstetrical and surgical-related data, Wexner fecal incontinence score, recurrence of the anal fissure, and the need for additional medical intervention. Five hundred 48 patients were identified after limitations of age, concomitant pathology, and procedures that were applied to the hospital computerized database. Eighty-five patients (group A) agreed to participate in the survey and 463 patients did not.

RESULTS: There were no differences between groups in demographic information and medical records data; therefore, group A may well represent a satisfactory sample of the whole group. The interval between the procedure and the survey was 6.8 ± 2.7 years. The Wexner incontinence score was 0 in 94% of patients.

CONCLUSION: Anal dilatation, performed in a systematic and standardized way, has a successful outcome with no complications and has no clear long-term negative impact on anal sphincter function.

Keywords: Anal dilatation; Complications; Fissure in ano; Incontinence

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