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Techniques in Coloproctology
Published in: Techniques in Coloproctology 9/2017

01-09-2017 | Technical Advances

Treatment of chronic anal fissure with sacral neuromodulation: a pilot study

Authors: A. Muñoz-Duyos, L. Lagares-Tena, S. Delgado-Rivilla

Published in: Techniques in Coloproctology | Issue 9/2017

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Excerpt

Chronic anal fissure (CAF) is a condition with a high prevalence and causes severe pain and quality of life impairment. Topical calcium antagonists or nitroglycerin, botulinum toxin achieve healing in most patients. Relapses after medical treatment typically require lateral internal sphincterotomy. However, this sphincterotomy has a small but consistent incidence of minor incontinence and septic complications [1]. …
Literature
1.
Nelson RL, Manuel D, Gumienny C, Spencer B, Patel K, Schmitt K, Castillo D, Bravo A, Yeboah-Sampong A (2017) A systematic review and meta-analysis of the treatment of anal fissure. Tech Coloproctol. doi:10.​1007/​s10151-017-1664-2 PubMed
2.
Garg P, Garg M, Menon GR (2013) Long-term continence disturbance after lateral internal sphincterotomy for chronic anal fissure: a systematic review and meta-analysis. Colorectal Dis 15(3):e104–e117CrossRefPubMed
3.
Yakovlev A, Karasev SA, Dolgich OY (2011) Sacral nerve stimulation: a novel treatment of chronic anal fissure. Dis Colon Rectum 54(3):324–327CrossRefPubMed
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Altunrende B, Sengul N, Arisoy O, Yilmaz EE (2013) Transcutaneous electrical posterior tibial nerve stimulation for chronic anal fissure: a preliminary study. Int J Colorectal Dis 28(11):1583–1589CrossRefPubMed
5.
Youssef T, Youssef M, Thabet W, Lotfy A, Shaat R, Abd-Elrazek E, Farid M (2015) Randomized clinical trial of transcutaneous electrical posterior tibial nerve stimulation versus lateral internal sphincterotomy for treatment of chronic anal fissure. Int J Surg 22:143–148CrossRefPubMed
6.
Ruiz-Tovar J, Llavero C (2017) Percutaneous posterior tibial nerve stimulation vs perianal application of glyceryl trinitrate ointment in the treatment of chronic anal fissure: a randomized clinical trial. Dis Colon Rectum 60(1):81–86CrossRefPubMed
Metadata
Title
Treatment of chronic anal fissure with sacral neuromodulation: a pilot study
Authors
A. Muñoz-Duyos
L. Lagares-Tena
S. Delgado-Rivilla
Publication date
01-09-2017
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 9/2017
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-017-1683-z

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