Suggested Pre-Referral Evaluation and Management Guidelines
Surgical referral is indicated for chronic anal fissure. If patient has persistent or recurrent anal fissure for more than 6 weeks despite optimization of bowel regimen, use of fiber supplementation and hydration, topical medical therapies. The vast majority of acute anal fissures heal without surgical intervention.
Suggested Additional Test/Management Prior to Specialty Visit
Colonoscopy if there are symptoms to suggest undiagnosed underlying inflammatory bowel disease. This need not be done prior to the clinic visit.
If colonoscopy and biopsy are performed outside of the UMHS system, reports should be mailed or faxed at or before the time of the clinic visit. Receiving these prior to the clinic visit is preferable.
UMHS Patients: See MiChart
Reports and/or medical records can be faxed to 734-232-6189
CDs can be hand-carried to the appointment
Reports, medical records, CDs, and pathology slides can be mailed to:
Division of Colorectal Surgery
Attention: Jain Carver
1500 East Medical Center Drive, SPC 5343
Ann Arbor, MI 48109-5343