Sphincterotomy in San Antonio, TX
What is a sphincterotomy?
A lateral internal sphincterotomy is a surgery conducted to address anal fissures. An anal fissure is a tear in the lining of the anus and is usually characterized by bleeding and discomfort when passing stool. The internal anal sphincter muscle is always under tension, but an increase in pressure can be followed by the occurrence of anal fissures or the prevention of an existing fissure from healing. If you are seeking a provider who offers sphincterotomies in San Antonio, TX our team can help. Reach out to a San Antonio Gastroenterology Associates location to request an appointment with one of our gastroenterologists to have all your questions answered.
Who should get a sphincterotomy?
This surgical treatment may be beneficial to individuals suffering from anal fissures. The following symptoms may be caused by anal fissures:
- Pain with bowel movements
- Itching
- Bleeding
Many anal fissures may be able to improve on their own or with home therapies. A lateral internal sphincterotomy is indicated in circumstances where conservative treatment measures are unsuccessful in healing the fissure.
How does a sphincterotomy work?
A sphincterotomy with our San Antonio, TX team is performed on an outpatient basis under either general or local anesthesia. Your gastroenterology provider will make a minor incision within the internal anal sphincter. This incision in the muscle reduces existing pressure, allowing the fissure to heal. The incision is either stitched with dissolvable sutures or can be left open to allow for natural healing. As in any surgery, a lateral internal sphincterotomy may encompass specific complications and risks, like the inability to control stool or gas, bleeding, pain, infection at the site of the incision, and difficulty with passing urine. We compel you to discuss the complete list of possible risks as well as benefits of this treatment with your San Antonio Gastroenterology Associates provider.
Sphincterotomy FAQs
How effective is sphincterotomy in treating anal fissures?
Sphincterotomy is a highly effective treatment for chronic anal fissures, with success rates generally exceeding 90%. This surgical procedure works by reducing tension in the anal sphincter, which enhances blood flow to the affected area and promotes healing. Most patients experience significant relief from symptoms and noticeable improvement in their condition following the procedure. As a result, sphincterotomy is considered a reliable option for individuals who have not found relief with conservative treatments.
Will I need to stay in the hospital after a sphincterotomy?
A sphincterotomy is typically performed as an outpatient procedure, so you usually won’t need to stay overnight in the hospital. Most patients can go home the same day once the effects of sedation have worn off. However, your doctor will give you specific instructions based on your individual case and the complexity of the surgery. Recovery is generally manageable at home, with most people able to 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?
After undergoing a sphincterotomy, managing pain is crucial during the recovery period. Your doctor will typically prescribe pain medication to help alleviate any discomfort following the procedure. Additionally, sitz baths, which involve soaking the perineal area in warm water, are often recommended to ease pain and aid in healing. It’s important to closely follow your doctor’s instructions regarding pain management to ensure a comfortable and effective recovery process.
