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Fissure in ano is a troubling and painful condition that affects a great majority of the population world over. The nature and anatomy of fissure in ano is quite clear, and much is known about the various predisposing and contributing factors that lead to initiation and progression of the disease. The preferred method of treating them, one that results in optimal clinical results and the least pain and inconvenience to the patient, however, has been open to debate. This paper outlines a brief account of the present scenario of different techniques available for the treatment of chronic anal fissure. Medical manipulation of the internal sphincter should be a first-line treatment in anal fissure.
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Anal self-massage in the treatment of acute anal fissure: a randomized prospective study
Anal fissure - Wikipedia
Anal and distal rectal dilation is the act of opening, widening, or stretching the anus with tools called anal dilators. It is often done after surgical procedures on the anus to restore the area to its normal state. Understanding anal anatomy and muscular contractility is a must in sexual education, all in the hopes of long lasting and powerful experiences. As it pertains to anything in anal play, one must think of the sphincter as having two major functions:. Most people have a difficult time with complete relaxation, during both defecation and intercourse.
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Treatment of fissure in ano- revisited
Finding out that you might be a candidate for anal dilation may at first feel intimidating or overwhelming. The process does require time and patience, but with proper anal dilator instructions, you can soon learn to care for your anorectal tissue. Over time, your anus or rectum will become wider.
An anal fissure AF is a tear in the epithelial lining of the anal canal. This is a very common condition, but the choice of treatment is unclear. The use of anal dilators is effective, economic, and safe. The aim of the study was to compare the efficacy of two conservative treatments, the use of anal dilators or a finger for anal dilatation, in reducing anal pressure and resolving anal fissures. Fifty patients with a clinical diagnosis of AF were randomly assigned to one of the treatments, self-massage of the anal sphincter group A, 25 patients or passive dilatation using dilators group B, 25 patients.