All About

Anal Sphincteroplasty

Symptoms

Fecal incontinence may occur temporarily during an occasional bout of diarrhea, but for some people, fecal incontinence is chronic or recurring. People with this condition may be unable to stop the urge to defecate, which comes on so suddenly that they don't make it to the toilet in time. This is called urge incontinence.

 

Another type of fecal incontinence occurs in people who are not aware of the need to pass stool. This is called passive incontinence.

 

Fecal incontinence may be accompanied by other bowel problems, such as:

Diarrhea

Constipation

Gas and bloating

Causes

Anal sphincter can be damaged by a number of causes, including:

  • Childbirth
  • Constipation
  • Nerve damage, impacting your brain’s ability to get signals that your bowels are full
  • Overstraining your bowels
  • Trauma resulting from anal or rectal surgery

More about Treatment

Anal sphincter is a ring of muscle that opens and closes at the bottom of your anus and plays a large role in controlling bowel function. When the muscle is damaged or weakened it can cause incontinence accidental loss of stool.

 

Diagnosis:

Anorectal manometry – Inserts a tiny balloon filled with water into your rectum to test the pressure of anal sphincter muscles

 

Colonoscopy – Takes pictures by using a thin, flexible tube (colonoscope) with an attached camera

 

Digital rectal examination (DRE) – Manually assesses the strength of your anal sphincter muscles

 

Defacography – Uses magnetic waves or X-rays to create high-definition pictures to see how well your pelvic muscles are working during a bowel movement

 

FAQ on this Treatment

What is anal sphincteroplasty or anal sphincter repair?

It is a surgery done to repair the muscle that control bowel movement through the anus called the anal sphincter.

What causes bowel incontinence?

Dysfunction of the anal sphincter leads to bowel incontinence - a condition in which the ability to control (start or stop) passage of stool or bowel movements is lost. This leads to frequent soiling of clothes, general discomfort.

What is the role of anal sphincteroplasty or anal sphincter repair in bowel incontinence?

Anal sphincteroplasty or anal sphincter repair surgery includes cutting the non-functional muscles and joining the functional parts to form an intact sphincter which is continent.

What is the success rate of anal sphincteroplasty or anal sphincter repair?

In various studies, the success of the treatment is considered to vary between 70%-90% relief in symptoms, immediately after surgery; and 50-70% in long term (5-10 years).

What are the effects of getting anal sphincteroplasty or anal sphincter repair?

General anaesthesia causes drowsiness after surgery. Stool passage and urine passage causes discomfort for about 4 weeks or more. Sexual activities are to be refrained from for 6-8 weeks. Weight lifting and other such strenuous activities are not advisable after surgery.

What are pre- and post-operative precautions to be undertaken for anal sphincteroplasty or anal sphincter repair surgery?

Before the surgery, after thorough examination and investigations, enema is administered to clear the bowel. Surgery is performed under general anaesthesia. Post-surgery catheter is introduced to aid in passing urine. Mild pain, swelling and discomfort may be treated by painkillers. No dietary restrictions are followed, however, stool softens may be prescribed to ease stool passage for a few days. The dressing on he wound is changed frequently to prevent infection or exposure.

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Anavara thanks the  following websites for information on treatments and diseases .

www.who.int                                     www.mayoclinic.org                      www.webmd.com

www.medicalnewstoday.com           www.cincinnatichildrens.org         www.england.nhs.uk

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