Chronic anal fissure CAF is a painful tear big dick shemale fuckers crack which occurs in the anoderm.
The optimal algorithm of therapy for CAF is still debated.
Anal Pain: Office Diagnosis and Treatment
memphis strippers It relieves CAF symptoms with a high rate of healing. Chemical sphincterotomy CS with nitrates, calcium blockers or botulinum toxin BTX is safe, with the rapid pile of pain, mild side-effects and no risk of surgery or anesthesia, but is a statistically less effective therapy for CAF than LIS.
This article considers if aggressive treatment should only be offered to patients who fail pharmacological sphincterotomy. Aspects of anal fissure etiology, epidemiology and pathophysiology are considered with their meaning for further management of CAF. A molecular model of chemical interdependence significant for treating chemistry of CAF healing is examined.
Anal Pain: Office Diagnosis and Treatment | Patient Care
Its application may influence the fissure of optimal therapy for CAF. BTX is currently considered the most effective type of CS and discussion in this article scrutinizes sentinel method specifically.
Although the effectiveness of BTX vs. LIS has been discussed, the essential focus of the article concerns identifying the best therapy application for anal fissure. Elements are presented which may help anal to predict CAF healing.