Özet:

Purpose: We aimed to retrospective the application of botox and its results in patients with chronic anal fissures that have not been healed after surgery. Tools and Methods: Patients who apply to our clinic between January 2016 and January 2018, chronic anal fissure diagnosis with lateral internal sfinkterotomy and not healed anal fissure diagnosis after evaluation were examined retrospectively. Wexner Scoring System was used to investigate the presence of postoperative incontinence. Endoanal ultrasound was performed to all patients for the assessment of anal sfinkters. Results: A total of 36 patients, 22 (61.1%) were men and 14 (38.9%) were women. The average age was 36.2 years. In endoanal ultrasound, 12 (33.3%) patients had superphysical external sfinkterotomy and intact internal anal sfinkter, 24 (66.7%) patients had incomplete internal sfinkterotomy. 18 (50%) of the patients had incontinence. 16 (44.4%) patients had only gas, 2 (5.6%) patients had gas-fluid incontinence. The postoperative Wexner score was an average of 1.2. 30 (83.3%) of patients after the Botox procedure were guaranteed. 6 (6.7%) of the patients were unhealthy. In 6 (20%) patients with the success of the Botox process, the nickel developed.  The average follow-up time was 11.9 months. Discussions and Results: In our study, the success rate of botox application was 83.3% in patients with anal fissures that were not healed. The cause of an uncertainty in secondary surgery and the success rates of up to 80% should be considered in the forefront as an alternative to secondary surgery. But we believe that we need a larger series to say something clear.

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