Sphincterotomy in Indianapolis, IN
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Find a ProviderWhat exactly is a sphincterotomy?
Lateral internal sphincterotomy is the name of a surgery carried out to care for anal fissures. An anal fissure is a small rip in the lining of one's anus and is often characterized by bleeding and discomfort with bowel movements. The internal anal sphincter muscle is always under tension, but elevated pressure has been known to be followed by the occurrence of anal fissures or can prevent an existing fissure from healing. If you are searching for a provider who offers sphincterotomies in Indianapolis, IN, our team can help. Speak to Indianapolis Gastroenterology and Hepatology to request a visit with one of our gastroenterology providers to gain answers to all of your questions.
Who should get a sphincterotomy?
This surgical procedure is performed on individuals dealing with anal fissures. Anal fissures often present with the following symptoms:
- Itching
- Pain during bowel movements
- Bleeding
Some anal fissures may be able to resolve without intervention or in combination with at-home treatments. Lateral internal sphincterotomy is suggested in circumstances where more conservative treatment measures fail to heal the fissure.
How does a sphincterotomy work?
The sphincterotomy with our Indianapolis, IN team is done as an outpatient procedure under either general or local anesthesia. Your gastroenterology provider makes a minor incision within the internal anal sphincter. This incision in the muscle reduces the pressure, thus allowing the fissure to close. The incision is then either stitched with dissolvable sutures or can be allowed to remain open to allow for natural healing. As is the case with any procedure, lateral internal sphincterotomy could encompass given risks and complications, for example, inability to control stool or gas, bleeding, pain, infection at the incision site, and trouble with the passing of urine. We compel you to discuss all the benefits and risks related to this treatment with your Indianapolis Gastroenterology and Hepatology gastroenterologist.
Healing for anal fissures
Anal fissures might close without intervention. Still, if you have a fissure for which this is not the case and which is failing to respond to the less invasive methods, then a sphincterotomy might be something that could help you. Should you have remaining questions regarding the sphincterotomy or any alternate method of treating anal fissures, we implore you to call an Indianapolis Gastroenterology and Hepatology provider. As a physician-led team of gastroenterologists, Indianapolis Gastroenterology and Hepatology works toward the goal of being able to provide patient-centric care for gastrointestinal concerns such as anal fissures. If you are on the search for a provider who provides the service of sphincterotomies in Indianapolis, IN, please request an appointment with us today.
Sphincterotomy FAQs
How effective is sphincterotomy in treating anal fissures?
Sphincterotomy is highly effective in treating chronic anal fissures, with success rates typically exceeding 90%. This surgical procedure reduces tension in the anal sphincter, improving blood flow to the fissured area and promoting healing. Most patients experience significant relief and rapid improvement in their condition following the procedure, making it a reliable option for those unresponsive to conservative treatments.
Will I need to stay in the hospital after a sphincterotomy?
Typically, a sphincterotomy is 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 sedation wears off. Your doctor will give specific instructions based on your case and the surgery's complexity. Recovery can generally be managed at home, allowing you to resume normal activities within a few days, although full healing might take a few weeks.
What should I expect in terms of pain management after a sphincterotomy?
After a sphincterotomy, managing pain is crucial for recovery. Your doctor will likely prescribe pain medication to help control discomfort following the procedure. Sitz baths (warm water baths focused on the perineal area) are often recommended to relieve pain and promote healing. It's important to follow your doctor's guidance on pain management to ensure a smooth and comfortable recovery.
Reviews
I was very pleased I had been feeling so bad. Did a phone appointment. Dr. Haynes listened to my symptoms and gave me a plan. Told me if I wasn't better to let him know.
Had a good experience with Dr. Opinion. He explained everything that I needed to know about my situation. I was told if I had any problems, to call his office & he would handle it from there. A very friendly doctor who seemed to care about my problem.
I saw Dr Hayes for a 2nd opinion & he was very informative & his bed side manner was amazing. Highly recommend if you need a doctor for liver issues.
I’ve been going to Dr Morelli for 18 years! I have had several colonoscopies by Dr Morelli and he is absolutely excellent in his field! He has a great bed side manner and makes you feel comfortable and safe! 👍❤️
I had to go in for a routine procedure (endoscopy) to determine if I had an autoimmune disease associated with some symptoms I’ve been having. Procedure went well, no concerns/complaints and I didn’t remember a thing about the procedure itself. Bill (a nurse), Adam (the anesthesiologist) and a plethora of other nurses were fantastic. I had one poor experience. The second from last nurse I had made comments about me coming down from anesthesia, making comments like “don’t act high, we didn’t give you narcotics”. I personally get very anxious/nervous when coming down from any kind of sedation and when I do, I tend to a nervous giggle/twitch from anxiety. My fiancé was in the room and immediately his ears perked up, and he started listening in. Then shortly after, I was asking questions about the procedure because they stated they didn’t see anything, and I was told by that same nurse that it was extremely unlikely that I had this condition because I was “too big” and didn’t fit the criteria. Which is 100% untrue (she did not use the words fat, but the comment was suggestive enough for me to understand what she meant by it). I am a little larger than average, about 165-175lbs on a bad day, and her comments absolutely crushed me because I’ve been on a weight loss journey and have lost about 30/40lbs in the past year. She made similar comments of how I would’ve had this condition since I was young, and that these people are “sticky skinny, pale and anemic” (which I was all of those for years until I gave birth to my last child) and that these conditions are “lifelong” and “don’t suddenly appear” (I was told the opposite by my physician). All in all, it was a pleasant experience until the very end. I may have to get another procedure done here and I would trust them enough to confirm a diagnosis. But some, I’d recommend, should take another course on bedside manner.
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