Anal Fissure - the Evidence

CRS discusses treatments and outcomes

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Anal Fissure - the Evidence

Postby dmcff » 01 Jan 2020, 07:01

CRS R.L. Nelson (Rick Nelson) conducted and published a systematic review and meta-analysis of all published treatments for anal fissure that have been studied in randomised controlled trials. In this podcast he describes his work and its results. While his replies to questions are interesting, I was struck by the number of times he mentions the "confusion" that surrounds much of the research into AF - it seems that reliable evidence relating to treatments and outcomes in AF is hard to obtain.

https://www.podomatic.com/podcasts/schoolofsurgery/episodes/2017-09-16T03_56_40-07_00
2014 Anal fissure
2015 CAT scan, EUA, sigmoidoscopy, 2 MRI scans - 4 hospital stays
2016 Pain severe then moderate to low
2017 Moderate pain
2018 Physiotherapy, pain management
2019-20 Just living with it
2021 Better, but AF is still a recurrent problem
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Re: Anal Fissure - the Evidence

Postby North West Jen » 14 Jan 2020, 23:16

Thank you!
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