Anal Fissure: Diagnostic Tests

Medical device diagnostics are usually not required.

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification.

  • Proctoscopy (rectoscopy; examination of the anal canal and lower rectum/rectum; under local/local anesthesia; also under anesthesia if necessary); indications:
    • In case of doubt about the suspected diagnosis of an acute anal fissure.
    • In persistent (continuing) symptomatology our conservative therapy for 6 to 8 weeks.
  • Endosonography (endoscopic ultrasound (EUS); ultrasound examination performed from the inside, i.e., the ultrasound probe is brought into direct contact with the internal surface (for example, the mucosa of the stomach/intestine) by means of an endoscope (optical instrument)).
  • Magnetic resonance imaging (MRI), biopsy (tissue sampling), etc. – for differential diagnosis of cryptogenic perianal abscesses (purulent inflammation in the tissues around the anus) and fistulas