Health and quality of life among a cohort of patients having lateral internal sphincterotomy for anal fissures

• Published in: Colorectal disease 2020-11, Vol.22 (11), p.1658-1666
• Main Authors: Sutherland, J. M., Karimuddin, A., Liu, G., Crump, T., Akbar, H., Phang, T., Redfern, K., Manoharan, S., Brown, C. J., Raval, M. J.
• Format: Article
• Language: English
• Subjects: Anal fissure; continence; Fecal incontinence; lateral internal sphincterotomy; Pain; Patients; Quality of life
• ISSN: 1462-8910; 1463-1318
• DOI: 10.1111/codi.15191

Aim The aim of this study is to report changes in health‐related quality of life attributable to lateral internal sphincterotomy for treatment of anal fissure. There is very little evidence on whether the overall health‐related quality of life of patients is detrimentally affected by the condition, or which aspects of self‐perceived health status improve after lateral internal sphincterotomy. This study will articulate which aspects of health tend to improve and guide postoperative expectations appropriately. Knowledge gained from this study may also identify gaps in an individual patient's episode of care. Method Patients were prospectively identified when they consented to surgical treatment of their anal fissure and were contacted by phone to participate. Participants completed a number of patient‐reported outcomes preoperatively and 6 months postoperatively. Faecal incontinence‐related quality of life, pain and depression were measured at both time points. The severity of faecal incontinence was measured at both times. Results Participants reported high levels of pain preoperatively. Postoperatively, improvement in pain exceeded the threshold of clinical relevance (P