BACKGROUND There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. METHODS Retrospective case note review in a paediatric forensic unit. CASES all eligible cases from 1990 to 2007 alleging anal abuse. CONTRO...

Background—Anal fissure is perpetuated by high sphincter pressures and secondary local ischaemia. Pharmacological approaches include topical nitrates and botulinum toxin (BT) which act to reduce anal pressure. BT lowers anal pressure by preventing acetylcholine release from nerve terminals while topical nitrates act by donating nitric oxide (NO). The aims of the present study were to compare th...

BACKGROUND This study was undertaken to determine the efficacy and safety of subcutaneous lateral internal sphincterotomy (SLIS) for chronic anal fissure by assessing the relief of defecatory pain, duration of wound healing and associated complications such as bleeding, infection, and anal incontinence. METHODS This descriptive case series was carried out at the Department of Surgery, Pakista...

When using surgical approach to treatment for combined anal fissure and hemorrhoids doctor always faces the question of whether divide procedure into two sequential stages or perform a simultaneous intervention, in which cases one other should be done. Purpose - improve results patients with combination chronic by combining fissurectomy transanal hemorrhoidal dearterialization (THD). Materials ...