the study conducted to assess if there is an effect of Extracorporeal Shock Wave Treatment on anal fissure
Design of the study: A prospective, randomized, blind, paired (right/left) comparison. Materials: Measurement tool: * healing of anal fissure, * Wexner Constipation Scoring System * anal pain intensity by means of a 10-point visual analogue scale (VAS) Therapeutic instruments: •. shock waves • topical application of 0.4% glyceryl trinitrate (GTN) ointment Methods: • Testing procedures: The assessment will be performed before commencing treatment, after 4 and 8 weeks of the treatment. • Treatment procedures: Patients will be assigned randomly into two groups equal in number: shock waves Group: twenty patients will receive the shockwaves on perianal area of for 4 weeks (3 sessions /week). control Group: twenty patients will receive the recommended routine medical treatment include topical application of 0.4% glyceryl trinitrate (GTN) ointment only..
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
device produces shock waves
Amr
Giza, Egypt
VAS
assessment of pain
Time frame: up to 3 months
wexener scale
assess the constipation
Time frame: up to 3 months
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