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analysis suggests medical treatment is safe for chronic anal fissure and reserves surgery for treatment failure. Method: This observational study over 2 years analysed outcome measures on patient symptoms and QOL scores. The QOL scores were recorded before and after respective procedure using SF 36 QOL Assessment Form . Result: The median age was 48(28e77) years. 95.83% patients completed the SF-36 form. This revealed that their quality of life improved significantly in physical functioning,doi:10.1016/j.ijsu.2016.08.162 fatcat:7l3qvgurrfbbzkny4cqp45hlyu