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Monday, April 21, 2014
Lateral Sphincterotomy Decision Pre Pregnancy
Hello. I am a 30 year old female suffering from a chronic anal fissure. I have had reoccurring pain for years but the past three months have been unbearable. I have been prescribed compounded creams which have not helped and my colorectal surgeon feels that a lateral sphinctertomy is required to resolve my pain. Despite fears of the risks with this surgery I am willing to accept them hoping to ease my pain but I am torn as my husband and I are ready for a family (and the pain from the fissure has derailed our plans). If I have this surgery pre pregnancy how long will I have to wait to recover in order to start a family? Will the surgery cause any probelms during pregnancy from added weight and pressure? Will there be added risks with a vaginal delivery? I am trying to decide if I should try to deal with the anal fissure pain and defer surgery until after having a baby. Any information is appreciated.
Fissure surgery carries the risk of incontinence, but must be weighed against the 98% chance that you will get better after sphincterotomy.
No need to delay pregnancy after surgery
Janice Frederick Rafferty, MD
Professor of Surgery
Chief of Colorectal Surgery Division
College of Medicine
University of Cincinnati