What signs should worry me after the sphincterotomy surgery?

All surgeries involve some potential complications. The risks associated with sphincterotomy don’t usually occur, but you should be aware of them.

Patients who suffer from an anal fissure are usually treated through sphincterotomy surgery, meaning that a colorectal surgeon removes the sphincter partially or entirely.

Some common temporary side effects of the procedure include:

  • limited fecal incontinence
  • trouble controlling flatulence

It is not abnormal for complications to ensue after the surgery, but they occur on extremely rare circumstances:

  • anal spasms
  • significant pain
  • bleeding: might require suture ligation
  • perianal abscess: involves incision and drainage

Call your doctor right away if you experience any of these symptoms.

Pain management after sphincterotomy surgery

Immediately following sphincterotomy surgery, you will still be under the effect of the anesthesia, which will gradually subside. The anesthetic will keep the pain symptoms away for the rest of the day.

However, after its effects wear off, you will start feeling pain, which can be managed through:

  • pain relief medication
  • antibiotics: to prevent infections
  • sitz baths: in warm water for approximately 15 minutes. They can provide pain relief for several hours

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Source: https://www.cedars-sinai.edu/Education/Medical-Library/