Bilateral versus unilateral botulinum toxin injections for chronic anal fissure: a randomised trial.

S A PilkingtonRahul BhomeR E WelchF KuC WardenS HarrisJ HicksC RichardsonT C DuddingJ S KnightA T KingA H MirnezamiN E BeckP H NicholsK P Nugent

Published in: Techniques in coloproctology (2018)

Injection-related pain was similar in bilateral and unilateral injection groups. Unilateral injection was as effective as bilateral injections in healing and improving fissure pain without any deterioration in continence.

Keyphrases

ultrasound guided
botulinum toxin
chronic pain
pain management
case report
neuropathic pain
platelet rich plasma
robot assisted
open label
spinal cord
spinal cord injury
drug induced
minimally invasive