Techniques of treatment hr. A proctal or an anal crack

[vikemor3]

What of sparing techniques is most effective at treatment of a chronic proctal or anal crack with a spastic stricture of a sphincter:
1 Injections of preparation Botoks (Disport),
2 Infra-red coagulation (photocoagulation),
3 ?au??O?--laser therapy it (IS lovely-THERAPY) together with a preparation
Propolisum Geliant ,
4 Radiosurgery

[pes]

Probable efficiency of this or that technique always needs to be estimated or appreciated individually - depending on features of disease and the patient; if any from techniques was in all cases unequivocally more effectively others - the others simply would not apply, correctly? So ask your question to the expert-proctologist, and after internal survey: variants are possible or probable.

[Proctolog]

Good afternoon! The techniques listed by you are effective for radical treatment acute, but in any way a chronic proctal or anal crack. At chronic, long current of inflammatory process mucous the proctal or anal channel undergoes series of serious changes which cannot be eliminated or erased;removed without operation. Time or temporary, shortest improvement a status is everything, that give as a result attempt to treat a chronic crack so-called sparing methods. Only operation will allow quickly and to get rid of a similar problem for ever. Yours faithfully, doctor-proctologist Reznik Evgenie Aleksandrovna, gen000@rambler.ru