Anal fissure botox after treatment
Colorectal Dis kajal agarwal hot navel kiss 16 : O—O The commonest trauma is that occasioned by the passage of a hard, constipated stool. This compromises perfusion of the anal mucosa as the blood vessels supplying the distal anal canal traversing the internal sphincter en route to the anal mucosa may be compressed by anao hypertonic muscle leading to chronic anal fissure. Botulinum toxin and lateral internal sphincterotomy are the main therapeutic options for refractory cases. Table 2. Subcutaneous administration of botulinum toxin A reduces formalin-induced pain. The absence of a control group, lack of anorectal manometry examinations, possibility anal fissure botox after treatment observer bias clinical follow-up data of patients were recorded by different doctors and the study design retrospective analysis are bltox key limitations of this study.