Results of lateral internal sphincterotomy with open technique for chronic anal fissure: evaluation of complications, symptom relief, and incontinence with long-term follow-up

Kiyak, Gülten; Korukluoğlu, Birol; Kuşdemir, Ahmet; Şişman, Ibrahim; Ergül, Emre; Kiyak, Gülten; Korukluoğlu, Birol; Kuşdemir, Ahmet; Sişman, Ibrahim Cağatay; Ergül, Emre
October 2009
Digestive Diseases & Sciences;Oct2009, Vol. 54 Issue 10, p2220
Academic Journal
journal article
The aim of this study is to investigate the results of open lateral internal sphincterotomy (LIS) and the recurrence and incontinence rate, to perform a long-term assessment of incontinence and to assess complications and relief of symptoms. This clinical prospective study was undertaken in patients undergoing open LIS. One hundred and twenty-nine patients entered the study. Mean duration of pain relief was 1.2 +/- 0.4 days and mean time before defecation without pain was 1.9 +/- 1.0 days. Complication rate was 41.8%. We found that urine retention was seen frequently in males. We demonstrated that open LIS up to the dentate line does not have a higher rate of incontinence. Incontinence after LIS was only to flatus and two-thirds of these resolved in 6 weeks. No patient showed improvement of incontinence after 6 weeks.


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