Successful treatment of chronic anal fissure utilizing sacral nerve stimulation.

OBJECTIVE

This is a report of a novel treatment approach for chronic anal fissure using minimally invasive sacral nerve stimulation (SNS).

MEASUREMENTS

The patient underwent uneventful placement of 1 temporary 8-electrode lead (Medtronic Inc, Minneapolis, Minnesota) for sacral nerve root stimulation.

RESULTS

The patient experienced instantaneous relief of perineal pain after start of SNS and steady healing of the fissure by the end of the second week.

CONCLUSION

SNS offers an alternative treatment option of chronic anal fissure for patients who choose not to use more invasive surgical interventions.