Problems of Defining Chronic Anal Fissure

  • Volker Wienert
  • Franz Raulf
  • Horst Mlitz


The definition of chronic anal fissure is inconsistent. Some authors define it on the basis of its time of existence (longer than 6, 8, or 12 weeks), others on the basis of morphological criteria like the depth of the defect, the condition of the edges of the fissure, or the existence of secondary changes such as skin tag, hypertrophied anal papilla, cryptitis, or fistula. All these clinical manifestations can be chronic anal fissure components, separately or jointly.


Botulinum Toxin Glyceryl Trinitrate Anal Fissure Chronic Anal Fissure Secondary Change 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Volker Wienert
    • 1
  • Franz Raulf
    • 2
  • Horst Mlitz
    • 3
  1. 1.Department of ProctologyClinic for Dermatology at RWTH Aachen UniversityAachenGermany
  2. 2.Medical Center of ColoproctologyMünsterGermany
  3. 3.Medical Center of ColoproctologySaarbrückenGermany

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