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Sphincterotomy is a surgical procedure involving the incision or division of a sphincter muscle to alleviate pressure or improve function. The sphincter muscle, which controls the opening and closing of certain body passages, is typically located in areas such as the anal canal or the urethra. This procedure is often performed to treat conditions such as anal fissures, chronic anal pain, or strictures in the urethra or bile ducts. For instance, in the case of an anal fissure, a sphincterotomy can help relieve the tension in the anal sphincter muscle, which is thought to contribute to the pain and difficulty associated with the condition. The primary cause for a sphincterotomy is to address issues where the sphincter muscle is causing pain, obstruction, or dysfunction. By making an incision or cutting the muscle, the procedure can reduce pressure and improve the function of the affected area, leading to symptom relief. While sphincterotomy can be effective, it carries potential risks and complications. These may include infection, bleeding, or wound healing issues. For anal sphincterotomy, there is a risk of incontinence or difficulty controlling bowel movements, which can impact quality of life. In cases involving the urethra or bile ducts, complications might include urinary incontinence or bile leakage. Despite these risks, sphincterotomy is a valuable option for treating certain conditions that do not respond to less invasive treatments, with careful consideration given to potential complications and follow-up care to ensure optimal outcomes.
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