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Anal Fissure Chronic clinical trials

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NCT ID: NCT05797220 Completed - Clinical trials for Anal Fissure Chronic

Effect of Additional Topical Diltiazem on Botulinum Toxin Injection for Chronic Anal Fissure

Start date: November 4, 2016
Phase:
Study type: Observational

Anal fissure (AF) is a painful tear extending from the anal canal to the dentate line. Although the exact pathophysiology is not known, an increase in anal tonus, decreased ano-dermal blood flow and local ischemia are possible mechanisms. The most effective treatment modality in chronic AF is lateral internal sphincterotomy however, incontinence rates are still reported as high as 8-30%. Topical diltiazem and botulinum toxin (BT) injection are good alternatives to surgery with lack of persistent side effects, easy applicability, and reproducibility, however, recurrence rates were reported up to 50% for each. A combination of BT with topical diltiazem may provide better results in terms of healing and recurrence. In this retrospective analysis a comparison of BT injection alone and BT injection combined with topical diltiazem treatment was performed.

NCT ID: NCT05616455 Completed - Anal Fissure Clinical Trials

Efficacy and Safety of Propionibacterium Extract Gel Versus 0.4% Glyceryl Trinitrate Ointment in the Treatment of Chronic Anal Fissure: a Randomised Controlled Trial

Start date: October 1, 2021
Phase: Phase 4
Study type: Interventional

The study compares the efficacy and safety of a Propionibacterium extract gel with 0.4% glyceryl trinitrate ointment in the treatment of chronic anal fissure.

NCT ID: NCT04320498 Completed - PRP Clinical Trials

Short Term Results of Platelet-rich Plasma in the Treatment of Chronic Anal Fissure

Start date: January 1, 2019
Phase: Phase 4
Study type: Interventional

Autologous PRP currently has many uses in surgical and medical therapy. Compared with other regenerative therapies, PRP is easy-to-prepare, low-cost, and does not require complex equipment. The use of autologous PRP avoids immunological side effects. Data is lacking on the use of PRP in the treatment of anal fissure. This study evaluated PRP as an alternative medical treatment for chronic anal fissures.