What exactly is a sphincterotomy?
Lateral internal sphincterotomy is the title of a surgical procedure carried out to address anal fissures. An anal fissure is a tear within the lining of the anus and is characterized by pain and bleeding during bowel movements. The internal sphincter muscle within the anus is under constant tension, but increased pressure can be followed by the occurrence of anal fissures or can prevent a current fissure from healing. If you are searching for a provider who offers sphincterotomies in Denver, CO, our specialists can help. Contact Colorado Gastroenterology to request an appointment with one of our gastroenterologists to gain answers to all of your questions.
Who should get a spincterotomy?
This surgical treatment may be suited for people suffering from anal fissures. Anal fissures can manifest with the following symptoms:
- Bleeding
- Itching
- Pain during bowel movements
A number of anal fissures will likely resolve of their own accord or with the help of at-home treatments. Lateral internal sphincterotomy is recommended in circumstances where more conservative treatment measures cannot successfully heal the fissure.
How does a sphincterotomy work?
The sphincterotomy with our Denver, CO providers is done on an outpatient basis and under either local or general anesthesia. Your GI provider creates a minor incision within the internal anal sphincter. This incision in the muscle lowers existing pressure, thus allowing the fissure to close. The incision is either stitched with dissolvable stitches or may be allowed to remain open to heal naturally. As with any surgical procedure, lateral internal sphincterotomy might include some complications and risks, such as incontinence of stool or gas, pain, bleeding, infection at the location of the incision, and trouble with the passing of urine. Please have a conversation regarding the complete list of possible risks as well as benefits of this surgery with your Colorado Gastroenterology provider.
Healing is possible for anal fissures
Sphincterotomy FAQs
What is the effectiveness of sphincterotomy in resolving anal fissures?
Sphincterotomy has proven to be a highly effective surgical option for chronic anal fissures, boasting success rates often above 90%. The procedure aims to reduce the tension in the anal sphincter, which not only alleviates pain but also enhances blood circulation to the affected area, fostering quicker healing. For patients who have not seen improvement through nonsurgical treatments, sphincterotomy offers significant symptom relief and rapid recovery.
Is hospitalization required after undergoing sphincterotomy?
Sphincterotomy is generally conducted on an outpatient basis, allowing patients to return home the same day without an overnight hospital stay. Recovery instructions, including the duration of rest needed at home, will vary depending on your specific situation and the surgery’s complexity. You can typically resume your usual activities within a few days, although complete healing may take longer.
How is pain managed following a sphincterotomy?
Effective pain management is crucial after a sphincterotomy. Your healthcare provider will prescribe appropriate pain relief medications to manage discomfort during the recovery phase. Additionally, sitz baths are often recommended to soothe the area and aid in healing. Adhering to your doctor’s pain management recommendation is essential for a comfortable recovery period.
