Prevalence Rate and Clinical Features of Fissure-in-Ano in a Private Surgical Clinic in Al-Diwaniyah Province, Iraq
Keywords:Fissure-in-Ano, Al-Diwaniyah Province, Iraq.
Background: One of the most frequent causes of anal discomfort and pain is fissure in ano in which there is
a linear tear in the squamous epithelium that lines the anal canal at location distal to dentate line. The disease
is encountered in both male and female gender and no age is immune particularly middle age and young
age. Little is known about the prevalence rate and clinical presentation in our community of Al-Diwaniyah
Aim of the Study: The current study was aiming at identifying the prevalence and clinical Presentation of
Fissure-in-Ano in a Private Surgical Clinic in Al-Diwaniyah Province, Iraq.
Patients and Method: The current cross sectional study was carried out at a private surgical clinic in AlDiwaniyah Province, Iraq. The study duration extended from January the 2nd 2019 to December the 31st
2019.During this period patients with an age between 20-60 years were enrolled based on their clinical
presentation of an anorectal problem. Any patient with previous anal surgery, with malignant disorder,
pregnancy or lactation was excluded from the study. All enrolled patients were examined by digital rectal
examination and proctoscopic examination. Sigmoidoscopy and colonoscopy were done as required.
Result: The study included a total of 314 patients with anorectal complaint of whom 78 patients had fissure
in ano making the prevalence rate as 24.8 %. Those patients with anal fissure were categorized into 57
(73.1%) males and 21 (26.9%) females. Most patients were between 31-40 years of age and the mean age
of all patients was 34.98±7.81 years and the range was 20-60 years. Most of fissures were located in the
posterior midline location and the minority of them was seen in an anterior midline location. The majority
of patients had acute disease and the minority of them had chronic disease with some having sentinel pile.
Conclusion: It has been shown therefore, that anal fissure is a common problem in our community and that
young age and middle age men are the target of majority of cases. The clinical features vary according to
age and gender
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