Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Aug 23;6(8):e00172.
doi: 10.14309/crj.0000000000000172. eCollection 2019 Aug.

Hemorrhoid Energy Therapy for Treatment of Deep Chronic Anal Fissures

Fahad Malik  1 , Jonathan Reyes  2 , Bhavin Patel  1 , Marina Kim  3 , Manuel Gonzalez  1 , Prasanna Wickremsinghe  1
Affiliations
Case Reports

Hemorrhoid Energy Therapy for Treatment of Deep Chronic Anal Fissures

Fahad Malik et al. ACG Case Rep J. .

Abstract

Energy therapy is a well-known, minimally invasive treatment for internal hemorrhoids. This treatment has not yet been studied in anal fissures refractory to medical therapy. Anal fissures, such as hemorrhoids, can disrupt the quality of life for patients. Currently, nonsurgical treatments available for anal fissures are only supportive measures. Definitive for chronic anal fissures refractory to medical therapy is internal sphincterotomy. This treatment has chances of relapse and a risk of anal incontinence. We propose the use of hemorrhoid energy therapy with bipolar cautery as a safer, less invasive, and effective therapy for recurrent anal fissures refractory to conservative management.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Jahnny B, Ashurst JV. Anal Fissures. [Updated 2018 Nov 22]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2018. - PubMed
    1. Rakinic J. Anal fissure. Clin Colon Rectal Surg. 2007;20(2):133–7. - PMC - PubMed
    1. Elsebae M. A study of fecal incontinence in patients with chronic anal fissure: Prospective, randomized, controlled trial of the extent of internal anal sphincter division during lateral sphincterotomy. World J Surg. 2007;31(10):2052–7. - PubMed
    1. Nelson RL, Manuel D, Gumienny C, et al. A systematic review and meta-analysis of the treatment of anal fissure. Tech Coloproctol. 2017;21(8):605–25. - PubMed
    1. Salih AM. Chronic anal fissures: Open lateral internal sphincterotomy result; a case series study. Ann Med Surg (Lond). 2017;15:56–8. - PMC - PubMed

Publication types