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To determine if 0.2% topical Nifedipine has better healing rates than 0.2% topical Glyceryl Trinitrate in the treatment of Chronic Anal Fissures

Not Applicable
Conditions
Digestive System
Chronic Anal Fissure
Registration Number
PACTR201304000524290
Lead Sponsor
Board of Postgraduate Medical Education, Aga Khan University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
66
Inclusion Criteria

1. Age : 18 years or older

2. History of anal pain on defecation for at least 6 weeks
±
3. Presence of any 1 of the following:
-Sentinel pile
-Hypertrophied apical papilla or
-Visible fibres of IAS

Exclusion Criteria

1.Fissures not consistent with above diagnostic criteria
2.Previous surgery for anal fissure
3.Fissures secondary to other diseases e.g. Crohn¿s disease, ulcerative colitis, malignancies, tuberculosis etc.
4.Associated complications warranting surgery (abscess, fistula etc)
5.Coexistent medical conditions using calcium channel blocker and oral, sublingual or transdermal nitrates

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The overall healing rate of Nifedipine vs GTN-treated patients with chronic anal fissure
Secondary Outcome Measures
NameTimeMethod
What proportion of participants have epithelialization or formation of a scar by 2, 4, 6 and 8 weeks;The resolution of pain
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