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Anal Sphincteroplasty

Anal Sphincteroplasty

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 ...

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

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.

What are the complications of anal sphincteroplasty or anal sphincter repair?
Wound infections are most commonly seen complication, though rare in septic conditions. There is a chance or reversal or re-development of sphincter dysfunction in prone individuals. Susceptibility to bleeding during surgery is ruled out beforehand, along with assessment of heart condition.

What are the alternatives to anal sphincteroplasty or anal sphincter repair?
Initially, conservative management is employed to promote formation of formed stools, using anti-constipation medicines. Use of anal plugs is another method to close the anus. Amongst surgery, alternatives are augmenting surgeries which use grafts of muscle from the body in place of the sphincter. Postanal repair surgery can also be undertaken which strengthens the anal sphincteric muscle.

Top Doctors For Anal Sphincteroplasty Treatment

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    491

Dr. Chitra Andrew Gynecology and Obstetrics | Gender: Female | Experience: 29 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. M. G. Dhanalakshmi Gynecology and Obstetrics | Gender: Female | Experience: 20 years | Hospital: Sri Ramachandra Medical Centre (SRMC)
Dr. Nisha Ohri Gynecology and Obstetrics | Gender: Female | Experience: 35 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Kiranmayi Setty Gynecology and Obstetrics | Gender: Female | Experience: 10 years | Hospital: Narayana Hospital
Dr. Aarathi Santhosh R. Gynecology and Obstetrics | Gender: Female | Experience: 10 years | Hospital: Narayana Hospital
Dr. Amrita Rao Gynecology and Obstetrics | Gender: Female | Experience: 10 years | Hospital: Manipal Hospitals, Bengaluru
Dr. Arti Mahla Gynecology and Obstetrics | Gender: Female | Experience: 10 years | Hospital: Manipal Hospitals, Bengaluru
Dr. Meena Prashanth Gynecology and Obstetrics | Gender: Female | Experience: 10 years | Hospital: Manipal Hospitals, Bengaluru
Dr. Laksmi Kumari Gynecology and Obstetrics | Gender: Female | Experience: 16 years | Hospital: Fortis Hospital, Bengaluru
Dr. Mangala Ramachandrahas Gynecology and Obstetrics | Gender: Female | Experience: 25 years | Hospital: Fortis Hospital, Bengaluru
Dr. Gayathri Kamath Gynecology and Obstetrics | Gender: Female | Experience: 26 years | Hospital: Fortis Hospital, Bengaluru
Dr. Geeta Chadha Gynecology and Obstetrics | Gender: Female | Experience: 32 years | Hospital: Apollo Indraprastha
Dr. Esra Tuştaş Haberal Gynecology and Obstetrics | Gender: Female | Experience: 20 years | Hospital: Hisar Intercontinental
Dr. Mustafa Kir Gynecology and Obstetrics | Gender: Male | Experience: 25 years | Hospital: Hisar Intercontinental
Prof. Dr. A. Fatih Durmuşoğlu Gynecology and Obstetrics | Gender: Male | Experience: 25 years | Hospital: Hisar Intercontinental
Dr. Nur Beştay Gynecology and Obstetrics | Gender: Female | Experience: 10 years | Hospital: Hisar Intercontinental
Dr. Manju Khemani Gynecology and Obstetrics | Gender: Female | Experience: 34 years | Hospital: Max Super Speciality Hospital, Saket
Dr. Bela Makhija Gynecology and Obstetrics | Gender: Female | Experience: 35 years | Hospital: Max Super Speciality Hospital, Saket
Dr. Manash Biswas Gynecology and Obstetrics | Gender: Male | Experience: 14 years | Hospital: Max Super Speciality Hospital, Saket
Dr. Meenakshi Dhanda Gynecology and Obstetrics | Gender: Female | Experience: 22 years | Hospital: Thumbay Hospital, Ajman
Dr. Prashanth Hegde Gynecology and Obstetrics | Gender: Male | Experience: 27 years | Hospital: Thumbay Hospital, Ajman
Dr. Haripriya Pasala Gynecology and Obstetrics | Gender: Female | Experience: 18 years | Hospital: Thumbay Hospital, Dubai
Dr. Pushpa Bhimani Gynecology and Obstetrics | Gender: Female | Experience: 21 years | Hospital: Thumbay Hospital, Dubai
Dr. Hema Sharma Gynecology and Obstetrics | Gender: Female | Experience: 34 years | Hospital: Thumbay Hospital, Dubai
Dr. Meenu Mathur Gynecology and Obstetrics | Gender: Female | Experience: 15 years | Hospital: Thumbay Hospital, Dubai
Dr. Kasturi Anil Mummigatti Gynecology and Obstetrics | Gender: Female | Experience: 33 years | Hospital: Thumbay Hospital, Dubai
Dr. Pauline Hobeika Gynecology and Obstetrics | Gender: Female | Experience: 15 years | Hospital: RAK Hospital
Dr. Talat Masroor Gynecology and Obstetrics | Gender: Female | Experience: 30 years | Hospital: RAK Hospital
Dr. Lalitha Kamini Gynecology and Obstetrics | Gender: Female | Experience: 24 years | Hospital: RAK Hospital
Dr. Aliya Khurram Gynecology and Obstetrics | Gender: Female | Experience: 7 years | Hospital: RAK Hospital
Dr. Nazli Tariq Gynecology and Obstetrics | Gender: Female | Experience: 17 years | Hospital: RAK Hospital
Dr. Vidya Shendre Gynecology and Obstetrics | Gender: Female | Experience: 25 years | Hospital: RAK Hospital
Dr. Nilofer Ayub Momin Gynecology and Obstetrics | Gender: Female | Experience: 11 years | Hospital: RAK Hospital
Dr. Lusine Kazaryan Gynecology and Obstetrics | Gender: Female | Experience: 18 years | Hospital: Saudi German Hospital
Dr. Ahmed Abdel Haq Gynecology and Obstetrics | Gender: Male | Experience: 25 years | Hospital: Saudi German Hospital
Dr. Lina Mhd. Amin Aljomoaat Gynecology and Obstetrics | Gender: Female | Experience: 10 years | Hospital: Saudi German Hospital
Dr. Sharda Brata Ghosh Gynecology and Obstetrics | Gender: Female | Experience: 15 years | Hospital: Saudi German Hospital
Dr. Lubna Ahmad Gynecology and Obstetrics | Gender: Female | Experience: 16 years | Hospital: Saudi German Hospital
Dr. Basel Daham Jallad Gynecology and Obstetrics | Gender: Male | Experience: 10 years | Hospital: Saudi German Hospital
Dr. Fadia Fadal Al Khalil Gynecology and Obstetrics | Gender: Female | Experience: 26 years | Hospital: Saudi German Hospital
Dr. Louay H. Zayed Gynecology and Obstetrics | Gender: Male | Experience: 15 years | Hospital: Saudi German Hospital
Dr. Ragia Saad Gynecology and Obstetrics | Gender: Female | Experience: 14 years | Hospital: Saudi German Hospital
Dr. Sarah Mohammed Ashraf Ibrahim Youssef Gynecology and Obstetrics | Gender: Female | Experience: 12 years | Hospital: NMC Royal AbuDhabi
Dr. Bindiya Jhamb Gynecology and Obstetrics | Gender: Female | Experience: 14 years | Hospital: NMC Royal AbuDhabi
Dr. Avneesh Kour Gynecology and Obstetrics | Gender: Female | Experience: 7 years | Hospital: Al Zahra Dubai

Top Hospitals For Anal Sphincteroplasty Treatment

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Thumbay Hospital, Dubai With our Hospitals and Medical Centre in Ajman, Fujairah, Sharjah, Dubai and Hyderabad (India), Thum
Maharaja Agrasen Hospital, Bengaluru The Maharaja Agrasen Hospital is located in the heart of Bangalore and is known of its excellence in
Columbia Asia Hospital, Bengaluru Columbia Asia is an international healthcare group operating a chain of modern hospitals across Indi
Gleaneagles Global Hospital, Mumbai Gleneagles Global Hospital, Mumbai offers end-to-end clinical, surgical and diagnostic services. The
Ramesh Hospital, Vijayawada Ramesh Hospital’s Main Centre flagship unit, located in the heart of Vijayawada, has been offering
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