What exactly is a sphincterotomy?
Lateral internal sphincterotomy is the name of a surgical operation carried out to help improve anal fissures. An anal fissure is a tear in the lining of one’s anus and may be associated with discomfort and bleeding during bowel movements. The internal anal sphincter muscle is always under tension, but a spike in pressure might be followed by the development of anal fissures or may prevent a current fissure from healing. If you are searching for a provider who offers sphincterotomies in Houston, TX, we can help. Consult with Gastroenterology Consultants to request a visit with one of our gastroenterology providers to have all your questions answered.
Who should get a sphincterotomy?
Sphincterotomies are intended for patients suffering from anal fissures. Anal fissures often present with the following symptoms:
- Bleeding
- Itching
- Pain during bowel movements
The majority of anal fissures will likely improve of their own accord or with home treatments. Lateral internal sphincterotomy is recommended in circumstances where more conservative treatment measures cannot successfully heal the fissure.
How is a sphinceterotomy performed?
Our gastrointestinal health specialists perform sphincterotomies for Houston, TX patients on an outpatient basis using local or general anesthesia. Your provider makes a minor incision within the internal anal sphincter. The incision in the muscle reduces existing pressure, thus allowing the fissure to close. The incision will then either be stitched with dissolvable stitches or may be allowed to remain open to allow for natural healing. As is the case with any procedure, lateral internal sphincterotomy might involve certain complications and risks, like inability to control gas or stool, bleeding, pain, infection at the location of the incision, and difficulty with passing urine. We compel you to have a conversation regarding the complete list of possible risks and benefits with regard to this procedure with your Gastroenterology Consultants gastroenterologist.
Sphincterotomy FAQs
How successful is sphincterotomy in treating anal fissures?
Sphincterotomy proves to be highly successful in managing chronic anal fissures, with success rates generally surpassing 90%. This surgical method helps alleviate pain and facilitates healing by lowering tension in the anal sphincter, thereby improving blood circulation to the area affected by the fissure. The majority of patients report a significant reduction in symptoms and quick improvement after the surgery, making it a dependable treatment for those unresponsive to more conservative methods.
Is hospitalization required after undergoing a sphincterotomy?
A sphincterotomy is typically an outpatient procedure, so overnight hospitalization is not usually necessary. Patients often go home on the same day, after any sedation effects diminish. Your physician will give you tailored instructions based on the specifics of your situation and the surgical complexity. The recovery period mainly takes place at home, with most individuals able to resume their normal activities within days, though complete recovery may take a few weeks.
What can I expect regarding pain relief after a sphincterotomy?
Pain management is a crucial aspect of recovery following a sphincterotomy. To manage discomfort post-surgery, your physician will probably prescribe pain relief medications. Sitz baths, which involve sitting in warm water to soothe the perineal area, are also frequently suggested to help mitigate pain and aid in the healing process. Adhering strictly to your physician’s recommendations for pain management is vital for a smooth and comfortable recovery.
