Abstract

Objective: To study outcome and level of satisfaction in patients of chronic anal fissure in terms of pain control and healing of fissure. Patients and Methods: This descriptive study was conducted in Fauji Foundation Hospital Rawalpindi. Total of 100 patients who had anal fissure for more than 6 weeks and were refractory to treatment with GTN paste were included in this study. Anal dilation was done in all the patients. Satisfaction of patient was assessed on visual analogue scale at 48 hours, 3 weeks, 6 weeks and 6 months during OPD follow up. Results: Total 100 patients were included in the study. Among them (84%) were females, 16% were male. 3 weeks after dilatation, anal fissure was completely cured in 93% of patients. After 6 months, repetition of procedure was needed in 3% of patients. Conclusion: Anal dilatation is a simple and safe procedure to treat chronic anal fissure. Key words: Fissure in Ano, Rectal bleeding, Painful defecation. Author

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