The purpose of surgical treatment has been aimed to reduce sphincter spasm
by division of its fibers.
Miosis due to sphincter spasm
may predispose to the formation of posterior synechiae.
Defecation is exquisitely painful, 'it's like passing razor blades', resulting in a cycle of fear of defecation, constipation, mucosal trauma and sphincter spasm
When the pain was uncontrolled, urethral sphincter spasm
made micturition difficult and there was also a blurring of my ability to interpret sensory messages from my pelvis.
On per rectal examination, there was sphincter spasm
noted in all patients.
Division of Internal Anal Sphincter: Division of internal sphincter fibers to relieve the sphincter spasm
is presently considered the preferred therapy for chronic, recurrent and non-healing fissures.
Topical 2% diltiazem in anal fissures causes smooth muscle relaxation and thus reducing internal sphincter spasm.
5% 54% Sphincter spasm 100% 100% Table 2: Side effects of DTZ and GTN DTZ GTN Chi-square P VALUE (n=118) (n=113) Perianal 13 (11%) 8 (7.
This condition is associated with pain on defecation, bleeding per anum and anal sphincter spasm
Bladder over distention frequently occurs due to sphincter spasms
and difficulty voiding.