Clinicopathological study of chronic anal fissure at Prince Mshiyeni Memorial and Inkosi Albert Luthuli Hospitals

Vukani Manzini, T Madiba, Damian Clark


Demographic and personal data, medical, social and occupational history will be recorded in the hospital charts. Clinical examination will be performed including rectal examination. Acute anal fissure will be treated medically in the form of stool softers, sitz baths, topical anaesthetics and a combination of anti-inflamatory, antimicrobial, and analgesic suppositories. Patients with chronic anal fissure will be managed similarly until all tests are done prior to operative treatment. Patients with chronic fissure will undergo anal manommetry,  anal endoluminal ultrasound and anodermal laser Doppler flowmetry assessment. Subsequently examination under anaesthesia, lateral internal anal sphincterotomy and biopsy of the fissure will be done in theater. Blood for H.I.V test will be pulled from all patients. All findings and tests results will be documented. All will be followed-up in surgical out-patients clinic for a minimum of six months post-operatively.