Seminars in Colon & Rectal Surgery
Volume 17, Issue 3 , Pages 120-122, September 2006

Management of Continence Problems Following Lateral Internal Sphincterotomy

  • Neil H. Hyman, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Neil H. Hyman, MD, Fletcher Allen Health Care, Department of Surgery, Fletcher 301, University of Vermont College of Medicine, 111 Colchester Avenue, Burlington, VT 05401.

University of Vermont College of Medicine, Burlington, VT.

Functional disturbances after lateral internal sphincterotomy are real and probably underreported. However, the overwhelming majority are relatively minor, often reversible and rarely impact quality of life in a measurable way. The etiology of postsphincterotomy in continence is probably multifactorial. The results of surgical repair have been disappointing and cannot be recommended. Emerging alternatives such as silicone injection may prove beneficial.

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PII: S1043-1489(06)00050-9

doi:10.1053/j.scrs.2006.04.006

Seminars in Colon & Rectal Surgery
Volume 17, Issue 3 , Pages 120-122, September 2006