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]

Natural History, Complications, and Prognosis

Natural History

• 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].

Complications

• Common complications of anal fissure include:
  • Failure to heal and become
  • Anal abscess or fistula
  • Fecal incontinence after surgery

Prognosis

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

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