Sphincterotomy in Utah
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Find a ProviderWhat exactly is a sphincterotomy?
Lateral internal sphincterotomy is a surgical option for the treatment of anal fissures. Anal fissures are small rips within the lining of the anus and are known to cause bleeding and uncomfortable bowel movements. The internal anal sphincter muscle is under constant tension, but increased pressure could proceed to the occurrence of anal fissures or the prevention of a current fissure from healing. If you are in need of a sphincterotomy in Utah, our physicians can help. Contact Utah Gastroenterology to request a visit with one of our GI providers to learn more about this treatment option.
Who is a candidate for a sphincterotomy?
Your gastroenterologist might recommend this surgical treatment if you are dealing with anal fissures. Anal fissures can manifest with the following symptoms:
- Bleeding
- Itching
- Pain with bowel movements
In some cases, an anal fissure may heal on its own, either naturally or with home treatments. Lateral internal sphincterotomy is suggested in cases where more conservative treatment measures are unsuccessful in healing the fissure.
How does a sphincterotomy work?
Our Utah GI providers offer sphincterotomies on an outpatient basis using either general or local anesthesia. Your gastroenterology care provider makes a minor incision within the internal anal sphincter. The incision within the muscle reduces the pressure, thereby allowing the fissure to close. The incision will then either be sutured with dissolvable stitches or may be allowed to remain open to heal naturally. As is the case with any surgical procedure, lateral internal sphincterotomy could include certain risks and complications, like inability to control gas or stool, pain, bleeding, infection at the site of the incision, and trouble urinating. We encourage you to have a conversation regarding all the risks and benefits of a sphincterotomy with your Utah Gastroenterology gastroenterologist.
Healing is possible for anal fissures
Some anal fissures may, in time, heal naturally. If, however, you are suffering from a fissure that isn't alleviated by typical treatments, a sphincterotomy may provide some relief. Should you have any unanswered questions about the sphincterotomy or any alternative methods for treating anal fissures, it would be in your best interest to connect with a Utah Gastroenterology provider. The board-certified gastroenterologists at Utah Gastroenterology strive to provide patient-centered care for gastroenterology conditions like anal fissures. If you are in need of a provider who can offer sphincteromies in Utah, please request a consultation with our specialists today.
Sphincterotomy FAQs
What is the effectiveness of sphincterotomy for anal fissures?
Sphincterotomy is highly successful in treating chronic anal fissures, with effectiveness rates often surpassing 90%. This surgical method provides significant relief by reducing tension in the anal sphincter, which enhances blood flow to the affected area, thereby alleviating pain and facilitating healing. It has proven to be a dependable solution for patients who do not see improvements with nonsurgical treatments.
Is hospitalization required after undergoing a sphincterotomy?
Sphincterotomy is typically conducted as an outpatient procedure, so overnight hospitalization is generally not required. Patients are usually able to leave the hospital and return home on the same day after the effects of sedation have subsided. Recovery guidelines, including any specific post-surgery care, will be provided by your GI provider depending on the specifics of your case and the surgery's complexity. Most of the recovery is managed at home, and normal activities can typically be resumed within a few days, though complete healing may take several weeks.
What can I expect regarding pain management following a sphincterotomy?
Effective pain management is crucial following a sphincterotomy. To help control any post-surgical discomfort, your GI provider will likely prescribe appropriate pain relief medications. Sitz baths, which involve sitting in warm water to soothe the perineal area, are also frequently recommended to aid in pain relief and facilitate healing. It is vital to adhere closely to your GI provider's pain management instructions to ensure a smooth and comfortable recovery phase.
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