What is Sphincterotomy?
Sphincterotomy is a surgical procedure that involves cutting or stretching the sphincter muscle to treat conditions like anal fissures. The sphincter muscle controls bowel movements, and this procedure is performed on the innermost layer of the muscle.
Why is Sphincterotomy Recommended?
Sphincterotomy is recommended for severe anal fissures that have not responded to other treatments. It helps to ease pressure inside the sphincter that prevents healing and increases blood flow to the area to speed up the healing process.
Preparation for Sphincterotomy
Patients may receive instructions ahead of the surgery, such as fasting requirements. Bowel prep is not typically required. Depending on the anesthesia method, patients may need to arrange transportation after the procedure.
How is Sphincterotomy performed?
The procedure involves making a small incision in the internal anal sphincter, sometimes with the assistance of a small camera. It is typically an outpatient surgery and takes about 30 minutes.
Recovery after Sphincterotomy
Recovery practices may include sitz baths and avoiding straining during bowel movements. Most patients can return to normal activities shortly after the procedure.
Risks and Complications of Sphincterotomy
Risks include temporary incontinence, hemorrhage, and perianal abscess. However, these complications are rare, and most patients do not experience long-term issues.
Benefits of Sphincterotomy
The procedure typically cures the anal fissure and is considered the gold standard for treating chronic anal fissures. The success rate is usually reported as being about or greater than 95%.
