Chronic Anal Fissure Clinical Trial
Official title:
Effect of Shock Waves Therapy on Anal Fissure
the study conducted to assess if there is an effect of Extracorporeal Shock Wave Treatment on anal fissure
Design of the study: A prospective, randomized, blind, paired (right/left) comparison. Materials: Measurement tool: - healing of anal fissure, - Wexner Constipation Scoring System - anal pain intensity by means of a 10-point visual analogue scale (VAS) Therapeutic instruments: •. shock waves • topical application of 0.4% glyceryl trinitrate (GTN) ointment Methods: • Testing procedures: The assessment will be performed before commencing treatment, after 4 and 8 weeks of the treatment. • Treatment procedures: Patients will be assigned randomly into two groups equal in number: shock waves Group: twenty patients will receive the shockwaves on perianal area of for 4 weeks (3 sessions /week). control Group: twenty patients will receive the recommended routine medical treatment include topical application of 0.4% glyceryl trinitrate (GTN) ointment only.. ;
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