Anal fissure
Bouguen, G.; Eléouet, M.; Favreau, C.; Siproudhis, L.
La Revue du Praticien 58(16): 1769-1773
2008
ISSN/ISBN: 0035-2640 PMID: 19143148 Document Number: 622136
Chronic anal fissure is an ischemic ulcer related to hypertonic sphincter. Pain and bleeding are the most common complaints. In first instance, treatment combines laxatives, analgesic and ointments. Topical nitrates represent a challenging alternative to surgery where non-specific approaches failed.