![]() Intrasphincteric injection of botulinum toxin (BT) is a reliable and effective new option in the treatment of uncomplicated CAF. The fundamental drawback of this surgery is its potential to cause gas, mucus or occasionally stool incontinence which is permanent in 8 to 30 percent of patients and may be associated with abscess and anal deformity. Lateral internal sphincterotomy (LIS) is the most common treatment for CAF and can be effective in more than 90 percent of cases but needs general or local anesthesia. Therapies that reduce anal sphincter pressures have been used to achieve fissure healing. Increases in resting anal pressure are documented in patients with chronic anal fissures (CAF) and it has been considered as a major pathophysiologic factor. Lateral internal sphincterotomy and botulinum toxin injection treatments both seem to be equally effective in the treatment of chronic anal fissure. There were no relapses during the 14 months of follow up. After the treatment, the maximal resting pressures were reduced from 104 ± 22 mmHg to 86 ± 15 mmHg in the surgery group (p 0.05) in the surgery group, and from 117 ± 62 mmHg to 76 ± 34 (p 0.05). Before the treatment, anal pressures were found to be similar in both groups. Eleven patients underwent surgery and ten patients received botulinum toxin injection treatment. Twenty-one consecutive outpatients with posterior chronic anal fissure were enrolled. Patients were followed for fissure relapse during 14 months. Maximal resting pressure and maximal squeeze pressure measurements were performed before and 2 weeks after treatments by anal manometry. Patients with chronic anal fissure were treated with either botulinum toxin injection or lateral internal sphincterotomy by their own choice. ![]() The aim of this non-randomized study is to compare the effect of lateral internal sphincterotomy and botulinum toxin injection treatments on the outcome and reduction of anal sphincter pressures in patients with chronic anal fissure. ![]() This cuts off the blood supply to the skin tag causing it to drop off.Although lateral internal sphincterotomy is the gold-standard treatment for chronic anal fissure, intrasphincteric injection of botulinum toxin seems to be a reliable new option. It is possible to remove skin tags at home by tying a piece of dental floss or fine cotton around the base of the skin tag. ![]() They may also become irritated through contact (rubbing) with clothing or the movement associated with sitting.Īnal skin tags may be checked by a doctor to make sure they are harmless and not a malignant or cancerous growth. Skin tags may also trap moisture and cause irritation. Although anal skin tags are not a risk to health, they may cause problems in maintaining cleanliness after using the toilet. Explanation Anal skin tags, or rectal skin tags, are common and usually harmless growths that hang off the skin around the outside of the anus.They may be mistaken for warts or piles (haemorrhoids).Īnal skin tags may also be called hypertrophied papillae or fibro epithelial polyps.They are not contagious, but may be due to inflammation, a lesion, anal injury or skin left behind after treatment for a haemorrhoid. Sentinel piles (also called sentinel skin tags) may get better without treatment but you may need to have them surgically removed if they are large or cause you problems. ![]()
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