Sara Fahad 1 Humaira Alam, Faisal Naseer, Sumbul Naz, Huma Jamil, Asma Samreen.
Comparison of Anal Manometric Pressure in patients with Chronic Anal Fissure before and after Lateral Spincterotomy.
Pak J Med Health Sci Jan ;13(1):57-9.

Aim: Anal fissure constitutes around 10-15% of consultation in proctology clinics. It is the most common cause of anal pain, bleeding .Lateral internal sphincterotomy is the gold standard treatment, and significant reduction in anal pressure noted among these patients Methods: This study conducted in civil hospital Karachi from June 2014 to December 2015 Results: Total 100 patients taken including 28 females and 72 males of age 25-90 years included. Resting anal pressure was recorded about 116.0 and post-surgery anal canal pressure reduced 66.22. with significant P- value. Conclusion: So, there was significant reduction in anal canal pressure measured via anal manometry. This also confirms that chronic anal fissures should be treated with lateral internal sphincterotomy.

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