Anal Fissure Disease: Prevention and Quality of Life

Wienert, V.; Raulf, Franz; Mlitz, Horst

doi:10.1007/978-3-319-49244-5_7

Cited by 2 publications

(10 citation statements)

References 9 publications

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“…Anal fissures (AFs) are lesions located in the lower anal canal. They are divided into primary (chronic or acute) and secondary ones; primary AFs develop as local entities; secondary AFs develop in the context of a basic disease [ 1 , 2 ]. AF is a painful longitudinal defect in the anoderm between the anal verge and the pectinate line.…”

Section: Introductionmentioning

confidence: 99%

“…AFs can heal either spontaneously or after therapy. They can recur as well as turn from acute into chronic ones [ 1 , 2 , 3 ]. Distribution by age shows a higher incidence in patients from 30 to 50 years old; women and men are both nearly equally affected [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…They can recur as well as turn from acute into chronic ones [ 1 , 2 , 3 ]. Distribution by age shows a higher incidence in patients from 30 to 50 years old; women and men are both nearly equally affected [ 1 , 2 , 3 ]. The duration from the first symptoms until the start of treatment such as sphincterotomy lasted more than 10 months on average (Rank from 1 to 96 months) [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Distribution by age shows a higher incidence in patients from 30 to 50 years old; women and men are both nearly equally affected [ 1 , 2 , 3 ]. The duration from the first symptoms until the start of treatment such as sphincterotomy lasted more than 10 months on average (Rank from 1 to 96 months) [ 1 ]. Chronic AFs [ 2 ] can present secondary morphological changes, such as cryptitis, sentinel tags, hypertrophied anal papillae, or anal fistulae [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The duration from the first symptoms until the start of treatment such as sphincterotomy lasted more than 10 months on average (Rank from 1 to 96 months) [ 1 ]. Chronic AFs [ 2 ] can present secondary morphological changes, such as cryptitis, sentinel tags, hypertrophied anal papillae, or anal fistulae [ 1 , 2 , 3 ]. Secondary AF is associated with other pathologies including ulcerative colitis, Crohn’s disease, and those induced by infectious agents such as syphilis and other Sexually Transmitted Infections (STIs) [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Sexuality, Quality of Life, Anxiety, Depression, and Anger in Patients with Anal Fissure. A Case–Control Study

Navarro-Sánchez

Luri-Prieto²,

Rosique³

et al. 2021

JCM

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Anal fissures (AFs) are lesions located in the lower anal canal. They can be primary (chronic or acute) or secondary to a basic disease. There is high comorbidity of depression and anxiety in patients with chronic AF, with poorer quality of life (QoL) and sexual function. This is a case–control study carried out in the San Juan Hospital (Alicante, Spain). Sixty-seven participants were included in the study, including 35 cases and 32 controls: 36 males and 31 females. This study aims to investigate the association of presenting AFs with sexuality, quality of life, anxiety, depression, and anger. The instruments used were the Spanish validated versions of the validated original selected questionnaires. These instruments were used to assess health-related quality of life, anxiety, anger, depression, and sexual function. Results show higher values in cases than in controls with statistical significance in anxiety state and trait; anxiety and depression; bodily pain, general health, and vitality; and 10 of the 12 anger factors. Higher values in controls than in cases with statistical significance in sexuality and many of the QoL factors were found. Addressing these issues in AF surgical patients would be beneficial for their clinical assessment and intervention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sexuality, Quality of Life, Anxiety, Depression, and Anger in Patients with Anal Fissure. A Case–Control Study

Navarro-Sánchez

Luri-Prieto²,

Rosique³

et al. 2021

JCM

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Possibilities of medical relaxation of the internal anal sphincter for anal fissures

Абрицова¹,

Torchua²,

Богданова

et al. 2021

Ambulatornaya khirurgiya

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Анальная трещина -линейный или эллипсовидный дефект (язва) анодермы, располагающийся в пределах анатомического анального канала, т. е. ниже зубчатой линии. Анальная трещина является социально-значимым заболеванием, ухудшающим качество жизни пациентов. Большинство острых анальных трещин заживают или спонтанно, или благодаря консервативной терапии, но часть может переходить в хроническое течение. Одним из основных патогенетических механизмов в развитии хронической анальной трещины является спазм внутреннего сфинктера, который приводит к нарушению кровоснабжения анодермы и появлению длительно незаживающего дефекта. Лечение хронической анальной трещины, как правило, основано на снижении тонуса внутреннего анального сфинктера, и в современном арсенале колопроктологов есть как хирургические, так и фармакологические способы ликвидации спазма. Боковая подкожная сфинктеротомия остается золотым стандартом в лечении хронических анальных трещин, но анальная инконтиненция остается серьезным осложнением данной процедуры, и это заставляет искать другие методы лечения. В настоящей статье представлены обзор имеющихся современных средств для медикаментозной релаксации внутреннего анального сфинктера и опыт авторов по применению первого зарегистрированного в России геля на основе фиксированной комбинации 0,3%-го нифедипина и 2,0%-го лидокаина у пациентов с основной жалобой на болевые ощущения во время и после дефекации, требующие приема обезболивающих средств. У всех пациентов была зафиксирована спонтанная волновая активность в покое, что свидетельствовало о наличии спазма анального сфинктера. По данным нашего наблюдения, у 70% пациентов наступило полное заживление анальной трещины и инструментально зафиксирована релаксация анального сфинктера.

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Anal Fissure Disease: Prevention and Quality of Life

Cited by 2 publications

References 9 publications

Sexuality, Quality of Life, Anxiety, Depression, and Anger in Patients with Anal Fissure. A Case–Control Study

Sexuality, Quality of Life, Anxiety, Depression, and Anger in Patients with Anal Fissure. A Case–Control Study

Possibilities of medical relaxation of the internal anal sphincter for anal fissures

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