What exactly is a sphincterotomy?
Lateral internal sphincterotomy is a surgical treatment carried out to help anal fissures mend. An anal fissure is a tear within the tissue lining the anus and is associated with bleeding and discomfort with bowel movements. The internal anal sphincter muscle is always under tension, but a rise in pressure could lead to the occurrence of anal fissures or may prevent an existing fissure from healing. If you are seeking a provider who offers sphincterotomies in Phoenix, AZ, we can help. Reach out to Arizona Digestive Health to request a visit with one of our gastroenterology providers to learn more about this treatment option.
Who should get a sphincterotomy?
For individuals struggling with anal fissures, this surgery may be the best available treatment option. The following symptoms may be caused by anal fissures:
- Pain during bowel movements
- Bleeding
- Itching
Many cases of anal fissures may be able to resolve without intervention or with the help of home therapies. Lateral internal sphincterotomy is recommended in circumstances where more conservative treatment measures fail to heal the fissure.
How is a sphincterotomy performed?
Our GI specialists in Phoenix, AZ carry out each sphincterotomy on an outpatient basis using either general or local anesthesia. Your provider will make a small incision within the internal anal sphincter. The incision within the muscle lowers existing pressure, thereby allowing the fissure to close. The incision is then either sutured with dissolvable stitches or can be left open to heal naturally. As with any procedure, lateral internal sphincterotomy may come with some risks and complications — for example, inability to control stool or gas, bleeding, pain, infection at the location of the incision, and trouble with urination. We encourage you to discuss the complete list of possible benefits and risks of this procedure with your Arizona Digestive Health gastroenterologist.
Healing for anal fissures
Sphincterotomy FAQs
How effective is sphincterotomy in treating anal fissures?
Sphincterotomy is an effective treatment for chronic anal fissures, boasting success rates often above 90%. This surgical technique helps alleviate pain and facilitates healing by lowering tension in the anal sphincter, thereby enhancing blood circulation to the affected area. Patients typically notice a significant reduction in symptoms and swift improvement in their condition after the procedure. This makes sphincterotomy a dependable choice for individuals who have not found relief through conservative treatment methods.
Will I need to stay in the hospital after a sphincterotomy?
A sphincterotomy is generally performed as an outpatient procedure, so you typically won’t need to stay overnight in the hospital. Most patients are able to go home the same day, once the effects of sedation have subsided. Your doctor will give you specific instructions tailored to your particular situation and the complexity of the surgery. Recovery is usually manageable at home, with most patients able to return to normal activities within a few days, though complete healing may take several weeks.
What should I expect in terms of pain management after a sphincterotomy?
Pain management is crucial following a sphincterotomy. To help manage any discomfort post-procedure, your doctor will typically prescribe pain medication. Additionally, sitz baths — warm water baths that target the perineal area — are often recommended to alleviate pain and aid in the healing process. Adhering closely to your doctor’s instructions for pain management is vital to ensure a smooth and comfortable recovery.
