Sphincterotomy in Louisiana
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Find a ProviderWhat is a sphincterotomy?
Lateral internal sphincterotomy is the name of a surgical procedure used to improve anal fissures. An anal fissure is a tear in the tissue lining one's anus, and can be associated with discomfort and bleeding with bowel movements. The internal sphincter muscle within the anus is constantly under tension, but elevated pressure may progress to the development of anal fissures or can prevent an existing fissure from healing. If you are searching for a provider who offers sphincterotomies in Louisiana, we can help. Consult with GastroGroup & Endocenter to request an appointment with one of our GI providers to receive answers to all of your questions.
Who should get a sphincterotomy?
This surgical procedure is reserved for patients with anal fissures. Anal fissures can manifest with the following symptoms:
- Itching
- Pain during bowel movements
- Bleeding
The majority anal fissures will likely heal on their own or with the aid of home treatments. Lateral internal sphincterotomy is recommended in circumstances where more conservative approaches cannot successfully heal the fissure.
How does a sphincterotomy work?
A sphincterotomy with our Louisiana providers is performed on an outpatient procedure and under general or local anesthesia. Your provider will make a small incision within the internal anal sphincter. The incision within the muscle decreases existing pressure, thereby allowing the fissure to heal. The incision is either stitched with dissolvable sutures or can be allowed to remain open to heal naturally. As with any surgical procedure, lateral internal sphincterotomy might involve certain risks and complications. This can include an inability to control stool or gas, pain, bleeding, infection at the location of the incision, and a struggle with the passing of urine. We encourage you to have a conversation regarding all the benefits and risks related to this treatment with your GastroGroup & Endocenter gastroenterologist.
Healing for anal fissures
Anal fissures might heal of their own accord. However, if a fissure does not seem to be healing and is failing to respond to the less advanced approaches, a sphincterotomy may be able to help you. If you have questions about the sphincterotomy or any other treatment method for anal fissures, we encourage you to connect with a GastroGroup & Endocenter provider. As a physician-led network of gastroenterology providers, GastroGroup & Endocenter works toward the goal of being able to provide patient-centric care for gastrointestinal concerns like anal fissures. If you are searching for a provider who specializes in sphincterotomies in Louisiana, please request an appointment with us today.
Sphincterotomy FAQs
How effective is sphincterotomy in treating anal fissures?
Sphincterotomy is a highly effective treatment for chronic anal fissures, boasting success rates of over 90%. This surgical procedure works by reducing tension in the anal sphincter, which in turn improves blood flow to the fissured area, promoting healing and alleviating pain. Most patients experience significant symptom relief and rapid improvement after the procedure, making it a dependable option for those who have not found success with conservative treatments.
Will I need to stay in the hospital after a sphincterotomy?
A sphincterotomy is typically performed as an outpatient procedure, meaning you won't usually need to stay overnight in the hospital. Most patients can return home the same day once the effects of any sedation have worn off. However, your doctor will provide specific instructions based on your individual case and the complexity of the surgery. Recovery can generally be managed at home, and you can resume normal activities within a few days, though full healing may take a few weeks.
What should I expect in terms of pain management after a sphincterotomy?
Managing pain is a crucial aspect of recovery after a sphincterotomy. Your doctor will likely prescribe pain medication to help control any discomfort following the procedure. Additionally, sitz baths (warm water baths focused on the perineal area) are commonly recommended to relieve pain and promote healing. It's essential to follow your doctor's guidance on pain management closely to ensure a smooth and comfortable recovery.
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