European Journal of Molecular & Clinical Medicine

Abstract

Anal fissure is one of the most common anorectal conditions encountered in clinical practice. Most patients experience anal pain with defecation and minor bright red rectal bleeding, allowing a focused history to direct the evaluation.
This was a prospective, randomized, controlled clinical study conducted on 90 consecutive patients who presented to the general surgery outpatient clinic of Al - Hilla teaching Hospital Babil, between June 2019 and July 2021 were diagnosed with  anal fissure.
Although various non-surgical and surgical treatment meth­ods have been used, an ideal treatment method for acute anal fissure is still debatable. The topical antimicrobial treatment with metronidazole in addition to conventional medical treat­ments is an effective, easy-to-use, safe, fast and comfortable practice that enables further reduction of anal fissure pain and increases the healing rate.