Deep anal fissure

Tell us whether you accept cookies We've put some small files called cookies on your device to make our site work. If patients are still symptomatic, the next line of management is GTN cream or diltiazem cream.

Diagnosis is clinical and further investigation is only required if there are features of underlying pathology. A formulation with diltiazem and lidocaine is the standard in our practice for the primary treatment of anal fissure.

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