Anal fissure natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

The symptoms of anal fissure can develop in the childhood in children having frequent diarrhea or severe constipation.
If left untreated, [#]% of patients with anal fissure may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].

Common complications of anal fissure include:^[1]^[2]
- Failure to heal and become
- Anal abscess or fistula
- Fecal incontinence after surgery

Prognosis is generally excellent and the patients with acute anal fissure is approximately 90% spontaneously heal or with dietary and medical measures.^[3]

↑ Fleshner PR, Schoetz DJ, Roberts PL, Murray JJ, Coller JA, Veidenheimer MC (1995). "Anal fissure in Crohn's disease: a plea for aggressive management". Dis. Colon Rectum. 38 (11): 1137–43. PMID 7587755.
↑ 'https://online.epocrates.com/u/2952563/Anal+fissure' title=Anal fissure at Epocrates Online
↑ Jonas M, Scholefield JH. Anal fissure. In: Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. Available from: https://www.ncbi.nlm.nih.gov/books/NBK6878/