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A member asked:
Is there any risk in having an anal sphincterectomy if i want to have more children and deliver vaginally? fissure hasn't heal with medical treatment.
A doctor has provided 1 answer
Anal fissue: Theoretically, yes. If a vaginal birth is complicated by a 4 th degree tear, then that potentially can weaken the sphincter and a concomitant sphincterotomy could aggravate that. Sphincterotomy alone and in the right hands has a minimal chance of sphincter issues and is an excellent treatment of chronic anal fissure that has failed medical mgmt.
Answered 5/27/2018
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