Anal Fissure and Its Management

  • Aidan Fowler


Anal fissures are commonly diagnosed but equally often overlooked by patients and their medical carers on the basis that symptoms overlap with other conditions, notably piles. Colorectal surgeons are aware that hemorrhoidal disease is not the cause of all anal pain or bleeding, but this knowledge is not widespread (all that glistens is not piles – or something like that!). We must therefore be vigilant in diagnosing anal disease; just as we do not wish to miss malignancy, it is important to treat other conditions appropriately, and it is thoroughly unpleasant and sadly not uncommon for a patient enduring an undiagnosed fissure while having incidental hemorrhoids treated by rubber band ligation.


Botulinum Toxin Anal Fissure External Anal Sphincter Internal Anal Sphincter Chronic Anal Fissure 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryGloucestershire Hospitals Foundation NHS TrustGloucester, GloucestershireUK

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