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your anal sphincter controls the passage of bowel movements. Discharge instructions return to the emergency department if you have severe pain. Anal sphincteroplasty is used when there is a defect in this circle of muscle. Also known as anal sphincter repair, the procedure is commonly used to treat fecal incontinence caused by anal muscles damaged during childbirth. The procedure is performed under general or regional anesthesia. An overlapping sphincteroplasty is an operation performed to restore normal anal sphincter anatomy following an injury, or disruption, to the anal sphincter muscle that has led to the development of fecal incontinence. Oftentimes, this injury is the result of trauma from a vaginal delivery. anal fissures are breaks or tears in the skin of the anal canal. A sphincterotomy is used as a last resort for this condition, and people who experience anal fissures are usually encouraged to. Anal sphincter repair improves anorectal function and endosonographic image. Gilliand r, altomare df, moreira h, oliveira l, gilliand j, wexner sd (1998) pudendal neuropathy is predictive of failure following anterior sphincteroplasty. Sphincterotomy is a surgical procedure to cut or stretch sphincter. Sphincter is the circular muscles around the anus that control bowel movement (). Sphincterotomy is a treatment for patients that suffers from anal fissures, piles or sometimes described as passing of glass. The purpose of sphincterotomy is to loosen the sphincter muscles and facilitate healing. Khanduja et al 14 reported the effectiveness of combining an advancement flap with sphincteroplasty in patients symptomatic with rectovaginal fistula and anal sphincter disruption. The mean age of the patients was 30 years and the mean duration of symptoms was 54. An overlapping sphincteroplasty is an operation performed to restore normal anal sphincter anatomy following an injury, or disruption, to the anal sphincter muscle that has lead to the development of fecal incontinence. Endoscopic sphincterotomy definition endoscopic sphincterotomy or endoscopic retrograde sphincterotomy (ers) is a relatively new endoscopic technique developed to examine and treat abnormalities of the bile ducts, pancreas and gallbladder. The procedure was developed as an extension to the diagnostic examination, ercp (endoscopic retrograde.). Anal ointment (such as americain, tronothane or xylocaine) should be applied to the anal area with your finger then covered with cotton or gauze. Bowel functions bowel movements after anorectal surgery are usually associated with moderate to severe discomfort. Constipation and diarrhea make the pain much worse and must be avoided.