Sphincterotomy in Little Rock, AR
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Find a ProviderWhat is a sphincterotomy?
Lateral internal sphincterotomy is the name of a surgical procedure carried out to treat anal fissures. An anal fissure is a tear within the lining of the anus and is usually accompanied by discomfort and bleeding when passing stool. The internal sphincter muscle within the anus is always under tension, but elevated pressure might progress to the development of anal fissures or the prevention of an existing fissure from healing. If you are in need of a sphincterotomy in Little Rock, AR, our physicians can help. Consult with GastroArkansas to request a visit with one of our gastroenterologists to receive answers to all of your questions.
Who should get a sphincterotomy?
This surgical procedure may be beneficial to people dealing with anal fissures. Anal fissures often present with the following symptoms:
- Pain with bowel movements
- Bleeding
- Itching
The majority of anal fissures will likely heal without intervention or with the aid of home treatments. Lateral internal sphincterotomy is recommended in circumstances where more conservative approaches are unsuccessful in healing the fissure.
How does a sphincterotomy work?
A sphincterotomy with our Little Rock, AR specialists is performed as an outpatient procedure and under either general or local anesthesia. Your gastroenterology provider creates a minor incision in the internal anal sphincter. The incision within the muscle reduces the pressure, thereby allowing the fissure to close. The incision is then either sutured with dissolvable sutures or may be left open to heal naturally. As with any surgical procedure, lateral internal sphincterotomy might involve some complications and risks, such as incontinence of gas or stool, bleeding, pain, infection at the site of the incision, and trouble with the passing of urine. We encourage you to have a conversation regarding all the risks and benefits in relation to this surgical procedure with your GastroArkansas gastroenterologist.
Healing for anal fissures
Anal fissures can heal without intervention. Regardless, in the event that you have an anal fissure for which this is not the case, and which is not responding to the less invasive treatment efforts, then a sphincterotomy may be able to help you. If you have subsequent questions in relation to a sphincterotomy or any alternative method of treatment for anal fissures, we implore you to call a GastroArkansas provider. As a physician-led network of gastroenterology providers, GastroArkansas strives to provide patient-centered treatment for gastroenterology problems like anal fissures. If you are on the search for a provider who specializes in sphincterotomies in Little Rock, AR, please contact us today.
Sphincterotomy FAQs
How effective is sphincterotomy in treating anal fissures?
Sphincterotomy is an extremely effective treatment for chronic anal fissures, boasting success rates often above 90%. This surgical procedure provides relief by decreasing tension in the anal sphincter, which enhances blood flow to the affected area and promotes healing. Most patients report significant alleviation of symptoms and a swift improvement in their condition after the procedure. This makes sphincterotomy a dependable choice for individuals who have not seen results from conservative treatments.
Will I need to stay in the hospital after a sphincterotomy?
A sphincterotomy is usually carried out as an outpatient procedure, meaning you typically don't have to stay overnight in the hospital. Most patients are able to go home the same day, after the effects of the sedation have subsided. Your doctor will give you specific instructions tailored to your particular situation and the complexity of the surgery. Recovery is generally manageable at home, and you can expect 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?
After undergoing a sphincterotomy, managing pain is a critical aspect of the recovery process. Your doctor will typically prescribe pain medication to help alleviate any discomfort you experience following the surgery. Additionally, sitz baths — warm water baths that specifically target the perineal area — are often recommended to help relieve pain and facilitate healing. It's crucial to adhere strictly to your doctor's instructions regarding pain management to ensure a smooth and comfortable recovery period.
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