Current Management of Anal Fissure

David A. Etzioni

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Anal fissure is a common problem, with several different modalities of treatment. Although the diagnosis and evaluation of fissure is not complicated, there are many different accepted treatments. Initial conservative measures focus on normalizing stool bulk and avoiding constipation. Medical treatment with nitroglycerine, calcium channel blockers, and topical anesthetics/steroids have proven efficacy, as does botulinum injection. The current evidence is not sufficient to label one of these options as the preferred treatment for anal fissure. Surgical sphincterotomy and anoplasty should be reserved for refractory cases.

Original languageEnglish (US)
Pages (from-to)2-8
Number of pages7
JournalSeminars in Colon and Rectal Surgery
Issue number1
StatePublished - Mar 1 2011

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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