Sphincterotomy in Arizona

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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.

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.

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.

Anal fissures may close naturally and without medical treatment in some cases. However, if you are dealing with a fissure that is not healing and is seemingly resistant to the more conservative approaches, then a sphincterotomy may be something that could help you. Should you have further questions about the sphincterotomy or any other treatment method for anal fissures, we invite you to contact an Arizona Digestive Health provider. With dozens of board-certified gastroenterologists and numerous GI offices in and around Phoenix, Arizona Digestive Health aims to provide patient-centric treatment for gastrointestinal concerns such as anal fissures. If you are on the search for a provider who performs sphincterotomies in Phoenix, AZ please request an appointment with us today.

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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.

My visit with Dr Walker and his staff was a good experience. I was seen quickly and everyone was very helpful, answered all my questions and made me feel very comfortable about my coming procedure.

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This was the first time with Dr. Michael Mills MD. I was impressed, to say the least. He gave me information on my situation that other doctors had never mentioned. So I left the office feeling hope. Thank you, Michael Mills and his staff.

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Dr. Panossian is very caring and compassionate. He spends time to explain things.

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Dr Mokashi is the very best in this practise! He is compassionate, listens intently, answers all questions, always positive, very highly educated!

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Dr. Umar knows his stuff. I had diverticulitis, went through a complete dose of Augmentin that didn’t throw it, my primary care doctor prescribed me the same thing all over again for a second go around. dr. Umar prescribe me top-of-the-line antibiotics (the big guns, Levoquin & Metronidazole) which worked after the Augmentin wouldn’t. I was able to get rid of it, and felt better after three orfour days. He spent the time listening to my concerns, which I told him I didn’t think being on the same antibiotic that didn’t work the first go around, why would I wanna be on it a second go around. He agreed, and it did the job. I trust him.

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