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An anatomical and clinical study aimed at uncovering factors likely to be helpful in understanding the true nature of haemorrhoids is described. The results of a prospective randomized trial in patients were recorded to compare manual dilatation of the anus with lateral subcutaneous sphincterotomy performed under general anesthesia. In the treatment of anal fissures, 20 mg of Nifedipine is given twice daily. Treatment of chronic anal fissure. Maximum resting pressure decreased significantly in both groups after surgery, although a small increase in maximum resting pressure was noticed after six months. Garrido et al[ 8 ] Single arm, prospective, non-randomized.
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For higher fistulas that encompass the external sphincter, fistulotomy will cause incontinence; therefore, a staged procedure is performed. Initial optimism with glyceral trinitrate has waned, and some prospective randomized trials have shown no benefit in pain scores or rate of healing when compared with dietary fiber and bulking agents alone. When assessing the severity of fecal incontinence data about the influence of FI on the patient quality of life were not sufficiently supplied and are recommended in further studies.
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