15390
document
Removal of hypertrophied anal papillae and fibrous anal polyps increases patient satisfaction after anal fissure surgery . BACKGROUND Hypertrophied anal papillae and fibrous anal polyps are frequently found in association with chronic fissure in ano . Usually , no specific attention is given to them and they are considered normal findings . The present prospective study was aimed at determining whether removal of hypertrophied anal papillae and fibrous anal polyps while dealing with chronic fissure in ano confers long-term benefit to patients . METHODS Between July 1999 and December 2000 , 140 patients undergoing anal sphincterotomy were randomized into two groups to have their fibrous polyps and hypertrophied anal papillae either removed by radiofrequency surgery or left intact . After two years , they underwent a detailed interview by an independent , masked investigator . RESULTS Overall 84 % of patients who had polyp and papilla removal rated the outcome of their surgery as excellent or good in comparison to 58 % of controls . The mean satisfaction grading was 9.2 on a visual analogue scale in the treatment group compared to 8.1 in controls ( p=0.004 ) . CONCLUSION Removal of hypertrophied anal papillae and fibrous anal polyps should be an essential part of treatment of chronic fissure in ano . Persistence of these structures leaves behind a sense of incomplete treatment , reducing the overall satisfaction on the part of the patient . Radiofrequency procedure is useful in eradication of these concomitant pathologies .
15391
Intervention_Surgical
Removal of hypertrophied anal papillae and fibrous anal polyps
15392
Intervention_Surgical
removal of hypertrophied anal papillae and fibrous anal polyps
15393
Intervention_Surgical
radiofrequency surgery
15394
Intervention_Control
left intact
15395
Intervention_Surgical
Removal of hypertrophied anal papillae and fibrous anal polyps
15396
Intervention_Surgical
Radiofrequency procedure
15397
Outcome_Other
patient satisfaction
15398
Outcome_Other
long-term benefit
15399
Outcome_Other
interview by an independent , masked investigator .
15400
Outcome_Other
visual analogue scale
15401
Outcome_Other
overall satisfaction
15402
Participant_Condition
after anal fissure surgery .