Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Jul 10, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Incontinence after a lateral internal sphincterotomy: are we underestimating it?

Sergio Casillas1, Tracy L Hull, Massarat Zutshi

  • 1Department of Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Diseases of the Colon and Rectum
|May 21, 2005
PubMed
Summary

Sphincterotomy for chronic anal fissures may lead to long-term flatal incontinence, especially in females with multiple vaginal deliveries. Recurrence rates were higher with office-based procedures and local anesthesia.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

What are the outcomes in patients referred to a tertiary referral centre for Crohn's rectovaginal fistula surgery?

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2023
Same author

The Effect of Dosing of <i>Stromal Cell-Derived Factor 1</i> on Anal Sphincter Regeneration.

Tissue engineering. Part A·2022
Same author

Stromal cell derived factor 1 plasmid to regenerate the anal sphincters.

Journal of tissue engineering and regenerative medicine·2022
Same author

ACG Clinical Guidelines: Management of Benign Anorectal Disorders.

The American journal of gastroenterology·2021
Same author

Does the Length of the Prolapsed Rectum Impact Outcome of Surgical Repair?

Diseases of the colon and rectum·2021
Same author

Reducing Patient Burden and Improving Data Quality With the New Cleveland Clinic Colorectal Cancer Quality of Life Questionnaire.

Diseases of the colon and rectum·2020

Area of Science:

  • Colorectal surgery
  • Gastroenterology
  • Patient outcomes research

Background:

  • Chronic anal fissures are a common condition.
  • Lateral internal sphincterotomy is a standard surgical treatment.
  • Long-term outcomes and quality of life after this procedure require further investigation.

Purpose of the Study:

  • To assess long-term outcomes and quality of life in patients after sphincterotomy for chronic anal fissure.
  • To identify factors associated with recurrence and incontinence.

Main Methods:

  • Retrospective review of medical records (1992-2001).
  • Postal survey assessing current status, quality of life, and incontinence severity.
  • Analysis of recurrence rates and associated factors.

More Related Videos

Detrusor Underactivity Model in Rats by Conus Medullaris Transection
03:26

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Related Experiment Videos

Last Updated: Jul 10, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Detrusor Underactivity Model in Rats by Conus Medullaris Transection
03:26

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Main Results:

  • Sphincterotomy recurrence occurred in 5.6% of patients, higher with office procedures and local anesthesia.
  • Flatal incontinence was significantly underreported in medical records compared to survey responses.
  • 30% of patients experienced persistent flatal incontinence, particularly females with multiple vaginal deliveries.

Conclusions:

  • Lateral internal sphincterotomy recurrence may be linked to local anesthesia or office procedures.
  • Female patients with multiple vaginal deliveries should be counseled on potential flatal incontinence risks.
  • Long-term flatal incontinence can occur in up to one-third of patients and may be permanent.