12.07.2015 Views

Management of Rectal Prolapse, and Common Anorectal Conditions

Management of Rectal Prolapse, and Common Anorectal Conditions

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<strong>Management</strong> <strong>of</strong> Anal Fissure Acute fissure Education, regulation <strong>of</strong> bowel habit,analgesia, topical medical therapy (85%) Chronic fissure Medical therapy first <strong>and</strong> review in 6-8weeks (TNG ointment or botox) Recurrent or refractory cases‣ Surgical sphincterotomy (5% flatusincontinence)

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