Can Targeting Sphincter Spasm Reduce Post-Haemorrhoidectomy Pain? A Systematic Review and Meta-Analysis.

James Z JinHanson UnasaPraharsh BahlMelbourne Mauiliu-WallisDarren SvirskisAndrew Hill

Published in: World journal of surgery (2022)

Evidence suggests that lateral sphincterotomy, administration of botulinum toxin and the application of topical diltiazem or GTN can reduce post-operative pain after haemorrhoidectomy. Lateral sphincterotomy should not be routinely used due to the risk of incontinence.

Keyphrases

botulinum toxin
chronic pain
pain management
neuropathic pain
minimally invasive
urinary incontinence
spinal cord injury
spinal cord