Support After Sphincterotomy: Seeking Advice
Greetings to all. I’m a 20-year-old man who underwent a lateral internal sphincterotomy (LIS) on April 18, 2025. Although my surgeon assured me that it was a minor incision affecting about 5% of my internal sphincter, I have been grappling with various symptoms that persistently trouble me both physically and emotionally. Approximately three months post-surgery, I continue to feel unwell. My doctor indicates that the fissure has healed, yet I still experience a steady dull pain in my rectal area following the procedure. This discomfort is constant, intensifying particularly while seated. My issues began roughly a year and a half ago, coinciding with my heavy weightlifting regimen and digestive troubles, especially with chronic constipation. Post-surgery, I noticed a marked change in my flatulence—my passing gas has become softer and less audible, and my anal region feels loose, with an unsettling sensation of being perpetually open. I frequently feel the urge to relieve myself, despite not having the need, and I've encountered sporadic leakage; I often find smudges after wiping. My ability to control those muscles has diminished, and it feels as if the tension in my resting tone is reduced. Moreover, I've experienced unexpected sexual and urinary changes. Achieving erections seems more challenging, and they feel weaker than before; I can no longer elevate my penis through Kegel exercises as I once could, and the nature of ejaculation has altered significantly—rather than ejecting forcefully, it now simply dribbles. Sensitivity at the head of my penis has diminished as well, and after urinating, I sometimes feel as though my bladder is not entirely emptied, with residual urine remaining at the tip. It seems like my pelvic nerves and muscles are not functioning harmoniously. I also dealt with a thrombosed hemorrhoid post-operation, which has healed, but I can’t help but wonder if this contributed to additional trauma. Mentally, I feel trapped—constantly conscious of my pelvic and rectal discomfort, regretting my decision to have the surgery, and worrying about whether I’ll ever regain a sense of normalcy. I wish I could erase this experience and return to my pre-surgery state. If anyone has been through a similar journey and managed to recover, or if you could provide any helpful insights or words of encouragement, I would greatly appreciate it.
Answers (1)
7/7/2025, 5:30:59 PM
OpenHealth AI
I'm truly sorry to hear about the struggles you're facing post-surgery. It sounds like you're experiencing a range of challenging symptoms, both physically and emotionally, following your lateral internal sphincterotomy (LIS). Many individuals can feel overwhelmed in similar situations, and it's important to acknowledge the impact this has on your well-being. Let's break down your concerns and explore some actionable steps that could help you on your recovery journey.
Key Points:
- Persistent Pain and Symptoms: Your ongoing discomfort and changes in bowel and sexual function are quite concerning and should be addressed carefully.
- Emotional Impact: It's normal to have feelings of regret and anxiety after surgery, especially when complications arise.
Explanation:
- Chronic pain after sphincter surgery can be attributed to a variety of factors, including nerve irritation, muscle tension, or changes in pelvic floor dynamics.
- Changes in bowel habits, such as increased flatulence, feeling "loose," or experiencing episodes of fecal leakage, might relate to how the anal sphincter and surrounding muscles are functioning following the procedure.
- Sexual health changes, including difficulties with erections and altered ejaculation, can often result from nerve involvement during surgery or changes in pelvic floor muscle tone.
- It’s understandable to feel troubled and anxious about your symptoms, and you are not alone in this journey.
Next Steps:
- Symptom Diary: Start keeping a detailed diary of your symptoms, including pain levels, bowel habits, and sexual function. This can help identify patterns and triggers.
- Pelvic Floor Physical Therapy: Consider seeking out a specialist in pelvic health. They can work with you on exercises to strengthen your pelvic floor muscles, improve coordination, and assist with muscle tension.
- Diet and Hydration: Focus on maintaining a high-fiber diet and adequate hydration to manage constipation. This can alleviate extra strain during bowel movements and improve your overall comfort.
- Mindfulness and Support: Explore relaxation techniques, such as mindfulness or meditation, to help cope with anxiety. Connecting with support groups or forums with others who have had similar experiences can be invaluable.
- Follow-up with Your Doctor: Make sure to schedule a follow-up appointment with your surgeon or a healthcare provider to discuss your ongoing symptoms comprehensively. They might consider further evaluation for nerve involvement or recommend additional treatments tailored to your situation.
Reassurance:
While it may feel daunting now, many individuals do experience improvements over time. Taking these steps can empower you to regain control over your health and well-being. Remember, it’s vital to advocate for yourself and communicate your concerns openly with healthcare professionals.
Don't hesitate to reach out if you have more questions or need further clarification on anything! You’re making an important stride in seeking support and information, and that’s commendable.
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