Hypertrophied anal papillae and fibrous anal polyps, should they be removed during anal fissure surgery?

Table 1 Patient demographic data

Patient characteristics	Group A	Group B
No. of patients	100	100
Mean age yr	37	39
Male: Female	64:36	66:34
Hypertrophied papillae	100	100
(No. of patients)
Fibrous anal polyp	11	8
(No. of patients)

Table 2 One-year follow-up findings of patients with removal or no removal of hypertrophied anal papillae and fibrous anal polyps (Student’s unpaired t test)

Findings based on complaints of	Group A	Group B	P
Pruritus ani	7 (7%)	32 (32%)	0.0008
Anal pain and irritation	5 (5%)	26 (26%)	0.0011
Discharge per anus	2 (2%)	34 (36%)	0.0005
Sense of incomplete evacuation	5 (5%)	22 (22%)	0.0008
Crawling sensation in anus	8 (8%)	48 (48%)	0.0002
Pricking or foreign body sensation in anus	3 (3%)	32 (32%)	0.0006
Prolapsed per rectum	Nil	4 (4%)	N
Sepsis in the wound	1 (1%)	8 (8%)	0.0044
Recurrence of papillae or polyps	Nil	Not applicable	N
Recurrence of fissure	Nil	Nil	N
Overall satisfaction from the procedures	89%	64%	0.0004

N, not studied.