Recovery from anal sphincterotomy

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Sphincterotomy, also called a lateral internal sphincterotomy, is a type of procedure that is used to cut the anal sphincter. The anal sphincter is the group of muscles connected to the rectum, at the end of the digestive tract, through which bowel movements are passed. Fissures can bleed and be painful and in some cases, may take time to heal. In most cases, fissures can be healed at home, sometimes even without treatment.
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Lateral internal sphincterotomy

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Sphincterotomy in Singapore

Purpose: Lateral internal sphincterotomy has been the gold standard treatment for chronic anal fissure, but it still carries the risk of permanent damage of the anal sphincter, which has led to the implementation of alternative treatment like botulinum toxin injection. The aim of this randomized prospective controlled trial was to compare the efficacy and morbidity of botulinum toxin injection and lateral internal sphincterotomy in the treatment of chronic anal fissure. Methods: Fifty consecutive adults with chronic anal fissure were randomly treated with either lateral internal sphincterotomy or botulinum toxin BT injection with 50 U BT into the internal sphincter. The complications, healing and recurrence rate, and incontinence score were assessed 2, 3, 6, 12 months after the procedure. At the 3-month visit, there was no significant difference between the two groups in healing.
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What to Expect after Fissure Surgery

Discuss your experiences, share your stories and get friendly help and advice. This forum provides members experience based informative help for such health issues as anal fissures, hemorrhoids, fistulas, IBS, Crohn's. Return to LIS - Considering surgery or already had it? Anal Fissure Support Forum Welcome!
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Lateral internal sphincterotomy is an operation performed on the internal anal sphincter muscle for the treatment of chronic anal fissure. The internal anal sphincter is one of two muscles that comprise the anal sphincter which controls the passage of feces. The procedure helps by lowering the resting pressure of the internal anal sphincter, which improves blood supply to the fissure and allows faster healing. Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed.
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Video сomments (5)

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