Management of chronic anal fissures: should fissurectomy be performed with botulinum toxin injection?
Botulinum toxin with or without fissurectomy is a safe sphincter-sparing treatment option for CAF. However, the addition of fissurectomy to BT does not improve healing rates and we therefore recommend BT injection alone as a second-line treatment of CAF in patients who fail topical treatment.
Authors
- Jodie Ellis‐Clark
- Rakesh Quinn (ORCID: https://orcid.org/0000-0002-6731-6101)
- Sinan Albayati (ORCID: https://orcid.org/0000-0002-7834-1767)
Institutions
- The University of Sydney (AU)
- New South Wales Department of Health (AU)
- Nepean Hospital (AU)
Publication Details
- Journal
- Techniques in Coloproctology
- Published
- 2025-05-22
- DOI
- https://doi.org/10.1007/s10151-025-03153-z
- Primary Topic
- Anorectal Disease Treatments and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- University of Sydney