Lateral sphincterotomy

Lateral sphincterotomy is a surgical procedure where the internal anal sphincter muscle is cut to help relieve an anal fissure.

Common questions

What is lateral sphincterotomy?

The operation aims to prevent the sphincter going into spasm, so restoring normal blood supply to the anal canal, helping the anal fissure to heal and reducing the chance of developing more fissures.

Lateral sphincterotomy has a very good rate of success in treating anal fissures.

Why have I been recommended to have lateral sphincterotomy?

You may have been recommended to have lateral sphincterotomy if you have already had non-surgical treatment for anal fissures, whether acute or chronic (those lasting six weeks or more). Anal fissures typically heal within a few weeks without any treatment. However, if they're caused by constipation that remains untreated, they can recur.

What happens during a lateral sphincterotomy?

During a lateral sphincterotomy a small cut is made in the ring of muscle (sphincter) around the anal canal. This reduces tension in the anal canal, allowing the anal fissure to heal. 

It is a relatively quick and simple procedure normally carried out under a general anaesthetic. This means you'll be asleep while the operation is carried out but you’ll usually be allowed home later the same day.

What should I expect after a lateral sphincterotomy?What should I expect after a lateral sphincterotomy?

Some discomfort is to be expected and we’ll give you painkillers to relieve any pain. You may be advised to make some dietary changes and perhaps take some laxatives to avoid becoming constipated and to make your stools easier to pass.

You will probably have a dressing on your wound which may need be changed daily. We’ll make all the arrangements for this to happen before you go home.

You’ll need to take some time off work and should avoid strenuous exercise until advised. You should be fully healed within two to four weeks and, in most cases, the anal fissure will not return.

Are there any risks from a lateral sphincterotomy?

A lateral sphincterotomy is usually very effective in treating anal fissures, although in a few cases they do return. Some people will experience some temporary bowel incontinence because of damage to the anal muscles. However, this is usually just wind incontinence which only lasts a few weeks.

How much does a lateral sphincterotomy cost?

TBC

Who performs a lateral sphincterotomy?

TBC

Contact Benenden Hospital

It’s easy to make an appointment; you can ask your GP or give us a call on 01580 230661.