الشق الشرجي المزمن عند المرضى الذكور المستمر بعد الملينات والعلاج الموضعي

References

DOI: 10.1111/codi.167

• For male patients with chronic fissure persisting after laxatives and topical therapy, a lateral internal sphincterotomy should be considered.
• In male patients with chronic anal fissures having lateral internal sphincterotomy, a sphincterotomy to the dentate line may be considered.
• For male patients with chronic fissure persisting after laxatives and topical therapy, who do not want sphincter division or have continence issues, botulinum toxin may be considered.