title: Results of lateral internal sphincterotomy with open technique for chronic anal fissure: evaluation of complications, symptom relief, and incontinence with long-term follow-up.
abstract: The aim of this study is to investigate the results of open lateral internal sphincterotomy (LIS) and the recurrence and incontinence rate, to perform a long-term assessment of incontinence and to assess complications and relief of symptoms. This clinical prospective study was undertaken in patients undergoing open LIS. One hundred and twenty-nine patients entered the study. Mean duration of pain relief was 1.2 +/- 0.4 days and mean time before defecation without pain was 1.9 +/- 1.0 days. Complication rate was 41.8%. We found that urine retention was seen frequently in males. We demonstrated that open LIS up to the dentate line does not have a higher rate of incontinence. Incontinence after LIS was only to flatus and two-thirds of these resolved in 6 weeks. No patient showed improvement of incontinence after 6 weeks.
authors.affiliation: General Surgery Department, Ankara Atatürk Teaching and Research Hospital, Bilkent, Ankara 06800, Turkey. gultenkiyak@yahoo.com
authors.forename: Gülten
authors.initials: G
authors.lastname: Kiyak
authors.forename: Birol
authors.initials: B
authors.lastname: Korukluoğlu
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kuşdemir
authors.forename: Ibrahim Cağatay
authors.initials: IC
authors.lastname: Sişman
authors.forename: Emre
authors.initials: E
authors.lastname: Ergül
mesh_terms: D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D002908:Chronic Disease; D013505:Digestive System Surgical Procedures / Q000379:methods; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D005401:Fissure in Ano / Q000601:surgery*; D005414:Flatulence / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence