Sphincterotomy in Dallas, TX

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If you notice consistent irritation, pain, or worse when passing bowel movements, there may be more serious underlying causes to address. One potential cause for this discomfort is known as an anal fissure. Lateral internal sphincterotomy is the title of a surgery which is employed to improve anal fissures. An anal fissure is a small rip in the lining of the anus, and is often accompanied by pain and bleeding when passing stool. The internal sphincter muscle within the anus is always under tension, but exaggerated pressure has been known to progress to the occurrence of anal fissures or prevent existing fissures from healing properly. If you are seeking a provider who offers sphincterotomies in Dallas, TX, our physicians can help. Contact Digestive Health Associates of Texas to request a visit with one of our GI providers to gain answers to all of your questions.

This treatment is reserved for those with anal fissures. Anal fissures can manifest with the following symptoms:

  • Itching
  • Pain during bowel movements
  • Bleeding

Some anal fissures will heal on their own or with at-home therapies. Lateral internal sphincterotomy is justified in circumstances where conservative treatment measures fail to successfully heal the fissure.

Sphincterotomy with our Dallas, TX team is conducted on an outpatient basis under either general or local anesthesia. Your GI provider creates a minor incision in the internal anal sphincter. The incision in the muscle decreases the pressure, thereby allowing the fissure to heal. The incision will be stitched with dissolvable stitches or can sometimes be left open to allow for natural healing. As is the case with any procedure, a lateral internal sphincterotomy can include a given list of risks and complications, for example, the inability to control gas or stool, pain, bleeding, infection at the incision site, and trouble with the passing of urine. We encourage you to have a conversation regarding all the benefits as well as risks related to this procedure with your Digestive Health Associates of Texas provider.

Anal fissures sometimes heal naturally without more extreme medical intervention. Still, if you suffer from an anal fissure that will not heal and which is seemingly resistant to the more conservative treatment efforts, a sphincterotomy may be something that could help you. If you have unanswered questions in regard to the sphincterotomy or any other method of treatment for anal fissures, please connect with a Digestive Health Associates of Texas provider. As a physician-led group of GI providers, Digestive Health Associates of Texas works toward the goal of being able to provide patient-focused treatment for gastrointestinal problems like anal fissures. If you are in search of a provider who performs sphincterotomies in Dallas, TX, please request an appointment with us today.

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How effective is sphincterotomy in treating anal fissures?

Sphincterotomy is an effective treatment option for chronic anal fissures, boasting success rates typically above 90%. This surgical intervention alleviates pain and facilitates healing by lessening the tension in the anal sphincter, which enhances blood flow to the affected area. The majority of patients report significant relief from symptoms and 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 generally carried out as an outpatient procedure, allowing patients to return home on the same day without needing an overnight hospital stay. Once the effects of any sedation have dissipated, most individuals are able to go home. Your doctor will provide tailored instructions depending on your specific situation and the complexity of the surgery. Recovery typically takes place at home, and you can usually resume 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?

Managing pain is a crucial aspect of the recovery process after a sphincterotomy. Your doctor will typically prescribe pain medication to help alleviate any discomfort you may experience following the procedure. Additionally, sitz baths — warm water baths that specifically target the perineal area — are often recommended to help ease pain and facilitate healing. It’s essential to adhere closely to your doctor’s instructions regarding pain management to ensure a smooth and comfortable recovery.

I went into the ER last Thursday and from the minute I met Dr K I loved her caring manner and after she performed ERCP with Sphincterotomy, I knew she would be my new GI. Can’t say enough about her incredible bedside manner and knowledge.

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