Results of lateral internal sphincterotomy with open technique for chronic anal fissure: Evaluation of complications, symptom relief, and incontinence with long-term follow-Up

Kiyak G., Korukluoǧlu B., Kuşdemir A., Şişman I. Ç., Ergül E.

Digestive Diseases and Sciences, vol.54, no.10, pp.2220-2224, 2009 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 54 Issue: 10
  • Publication Date: 2009
  • Doi Number: 10.1007/s10620-008-0621-3
  • Journal Name: Digestive Diseases and Sciences
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.2220-2224
  • Keywords: Complication, Incontinence, Open sphincterotomy, Symptomatic relief
  • Ankara Yıldırım Beyazıt University Affiliated: No

Abstract

The aim of this study is to investigate the results of open lateral internal sphincterotomy (LIS) and the recurrence and incontinence rate, to perform a long-term assessment of incontinence and to assess complications and relief of symptoms. This clinical prospective study was undertaken in patients undergoing open LIS. One hundred and twenty-nine patients entered the study. Mean duration of pain relief was 1.2 ± 0.4 days and mean time before defecation without pain was 1.9 ± 1.0 days. Complication rate was 41.8%. We found that urine retention was seen frequently in males. We demonstrated that open LIS up to the dentate line does not have a higher rate of incontinence. Incontinence after LIS was only to flatus and two-thirds of these resolved in 6 weeks. No patient showed improvement of incontinence after 6 weeks. © 2008 Springer Science+Business Media, LLC.