Skip to main content
Log in

Topical ketanserin gel for anal fissure: An open-label, prospective study

  • Published:
Advances in Therapy Aims and scope Submit manuscript

Abstract

This open-label, prospective study assessed the efficacy and safety of topical ketanserin gel in 63 patients with symptomatic anal fissure. The efficacy outcome was total clinical healing of the fissure. Topical ketanserin gel was 90% effective (fissure healed) and 100% safe (no adverse events) in the primary nonsurgical treatment of anal fissure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. DeCree J, Veerhaefen H, Symoens J. Acute blood-pressure lowering effect of ketanserin.Lancet. 1981; 1: 1161–1162.

    Article  CAS  Google Scholar 

  2. Janssens M, Symoens J, Robertson MP. Ketanserin in the treatment of peripheral vascular disease or hypertension in patients with diabetes mellitus: a review.J Cardiovasc Pharmacol. 1991; 17(suppl 5): S54-S66.

    Article  PubMed  Google Scholar 

  3. Apelqvist J, Castenfors J, Carson J, et al. Ketanserin in the treatment of diabetic foot ulcer with severe peripheral vascular disease.Int Angiol. 1990; 9: 120–124.

    PubMed  CAS  Google Scholar 

  4. Rooman RP, Janssen H. Ketanserin promotes wound healing: clinical and preclinical results.Prog Clin Biol Res. 1991; 365: 115–128.

    PubMed  CAS  Google Scholar 

  5. Roelens P. Double-blind, placebo-controlled study with topical 2% ketanserin ointment in the treatment of venous ulcers.Dermatologica. 1989; 178: 98–102.

    Article  PubMed  CAS  Google Scholar 

  6. Janssen PA, Janssen H, Cauwenberg G, et al. Use of topical ketanserin in the treatment of skin ulcers: a double-blind study.J Am Acad Dermatol. 1989; 21: 85–90.

    Article  PubMed  CAS  Google Scholar 

  7. Lund JN, Scholefield JH. Aetiology and treatment of anal fissure.Br J Surg. 1996; 83: 1335–1344.

    Article  PubMed  CAS  Google Scholar 

  8. Rosen L, Abel ME, Gordon PH, et al. Practice parameters for the management of anal fissure.Dis Colon Rectum. 1992; 35: 206–208.

    Article  PubMed  CAS  Google Scholar 

  9. Corman MC. Anal fissure. In:Colon and Rectal Surgery. 4th ed. Philadelphia, Pa: Lippincott-Raven; 1998: 206–223.

    Google Scholar 

  10. Fleshman JW. Fissure-in-ano and anal stenosis. In: Beck DE, Wexner SD, eds.Fundamentals of Anorectal Surgery. 2nd ed. London: WB Saunders; 1998: 209–294.

    Google Scholar 

  11. Wong WD. Incontinence after lateral internal sphincterotomy: anatomical and functional evaluation.Dis Colon Rectum. 1998; 41: 425–427.

    Google Scholar 

  12. Khubchandani IT, Reed JF. Sequelae of internal sphincterotomy for chronic fissure in ano.Br J Surg. 1989; 76: 431–434.

    Article  PubMed  CAS  Google Scholar 

  13. Jost WJ, Schimrigk K. Therapy of anal fissure using botulin toxin.Dis Colon Rectum. 1994; 37: 1321–1324.

    Article  PubMed  CAS  Google Scholar 

  14. Gui D, Cassetta E, Anastasio G, Bentivoglio AR, Maria G, Albanese A. Botulinum toxin for chronic anal fissure.Lancet. 1994; 344: 1127–1128.

    Article  PubMed  CAS  Google Scholar 

  15. Loder PB, Kamm MA, Nicholls RJ, Phillips RK. “Reversible chemical sphincterotomy” by local application of glyceryl trinitrato.Br J Surg. 1994; 81: 1386–1389.

    Article  PubMed  CAS  Google Scholar 

  16. Gorfine SR. Topical nitroglycerin therapy for anal fissures and ulcers.N Engl J Med. 1995; 333: 1156–1157.

    Article  PubMed  CAS  Google Scholar 

  17. Maria G, Cassetta E, Gui D, Brisinda G, Bentivoglio AR, Albanese A. A comparison of botulinum toxin and saline for the treatment of chronic anal fissure.N Engl J Med. 1998; 338: 217–220.

    Article  PubMed  CAS  Google Scholar 

  18. Lund JN, Armitage NC, Scholefield JH. Use of glyceryl trinitrate ointment in the treatment of anal fissure.Br J Surg. 1996; 83: 776–777.

    Article  PubMed  CAS  Google Scholar 

  19. Watson SJ, Kamm MA, Nicholls RJ, Phillips RKS. Topical glyceryl trinitrate in the treatment of chronic anal fissure.Br J Surg. 1996; 83: 771–775.

    Article  PubMed  CAS  Google Scholar 

  20. Maria G, Brisinda G, Bentivoglio AR, Cassetta E, Gui D, Albanese A. Botulinum injections in the internal anal sphincter for the treatment of chronic anal fissure: long-term results after two different dose regimens.Ann Surg. 1998; 228: 664–669.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zielanowski, M.M. Topical ketanserin gel for anal fissure: An open-label, prospective study. Adv Therapy 17, 27–31 (2000). https://doi.org/10.1007/BF02868028

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02868028

Keywords

Navigation