The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

243

A 23 year old female presents with a long history of constipation and a 2 day history of acute, severe pain on defecation associated with fresh, red PR bleeding. On examination, she is found to have a posterior midline fissure in ano. Which ONE of the following is NOT a recommended treatment option in this patient?

Please select one of the following:

Stool softeners, dietary advice, peri-anal hygiene and life-style factor modification
Topical 0.4% GTN cream
Lateral Internal Sphincterotomy
Botulinum toxin injection
Topical 2% Diltiazem paste

Question By Dr Georgia Leyton .