Treatment of Chronic Anal Fissure in Patients with Regular Receptive Anal Intercourse

Chronic anal fissure presents specific management considerations in individuals who engage in regular receptive anal intercourse. In this population, treatment selection must carefully account for both healing goals and sphincter function.

Clinical scenario

Chronic anal fissure in a patient with regular receptive anal intercourse — a setting where conservative and surgical approaches must be balanced against the need to preserve sphincter integrity.

Approach

Sphincter-preserving surgical techniques are among the options considered in this scenario.

The full structured regimen — including procedure selection, sequencing, and criteria for escalation — is available in the complete protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1111/codi.167

Patients with regular receptive anal intercourse and chronic anal fissures may be considered for conservative treatment algorithms and sphincter preserving surgery.

Sphincter preserving procedures such as anal advancement flaps are a logical alternative if conservative treatment fails.

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