{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:42:29Z","timestamp":1789494149807,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2006,8,3]],"date-time":"2006-08-03T00:00:00Z","timestamp":1154563200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold> To determine the efficacy and safety of sitz baths in the management of acute anal fissures.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> Individual patients were randomized to either receive sitz baths or no sitz baths for 4\u2003weeks in addition to oral psyllium husk. Patients were asked to soak their hips and buttocks in a tub containing plain lukewarm water for 10\u2003min, once after defecation in the morning and again at bedtime. Each week, the patients were called to assess pain scores and healing of fissures, whereas the level of satisfaction was recorded at the end of 4\u2003weeks. Main outcome measures were validated pain scores and levels of satisfaction.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> Fifty\u2010eight subjects were recruited for this study. In all, 52 of them completed the trial (27 in the sitz bath group and 25 in the control group). Although the pain score was lesser in the sitz bath group than in the control group, it failed to reach statistical significance. There were no significant differences in fissure healing between the two groups over the 4\u2010week study period. However, patients in the sitz bath group reported better satisfaction levels than the control group (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01). Although no serious adverse effects were observed, two patients from sitz bath group developed perianal skin rash.<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold> This study suggests that sitz baths improve patient satisfaction in acute anal fissures. However, the healing and overall pain relief was not significant enough to attract attention. It was also found to be associated with adverse effects in few patients.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2006.03838.x","type":"journal-article","created":{"date-parts":[[2006,8,3]],"date-time":"2006-08-03T14:21:57Z","timestamp":1154614917000},"page":"718-721","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["RANDOMIZED, CONTROLLED STUDY COMPARING SITZ\u2010BATH AND NO\u2010SITZ\u2010BATH TREATMENTS IN PATIENTS WITH ACUTE ANAL FISSURES"],"prefix":"10.1111","volume":"76","author":[{"given":"Pravin J.","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,8,3]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02053509"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.1986.tb01426.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00152193-199312000-00007"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0085-x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054225"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610050009601"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1995.tb139999.x"},{"key":"e_1_2_6_9_2","first-page":"60","article-title":"Instructions on daily activities of hemorrhoid patients with special reference to sitz bath","volume":"21","author":"Hatagawa K","year":"1975","journal-title":"Kango Gijutsu"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553028"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199306000-00007"},{"key":"e_1_2_6_12_2","first-page":"1248","article-title":"The importance of the ascendent sitz bath in gynecology","volume":"19","author":"Spitzbart H","year":"1970","journal-title":"Zentralbl Gynakol"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1159\/000282487"},{"key":"e_1_2_6_14_2","first-page":"137","article-title":"Perineal burns from sitz bath in children: case reports","volume":"7","author":"Ameh EA","year":"2000","journal-title":"Niger Postgrad. 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