My laparoscopic surgeon recommended anal dilation sphincter surgery for my chronic hard stool and constipation issues. Can you explain how this procedure works and why it's needed? Will it actually solve my constipation problems or are there other treatments I should consider first? I'm a bit nervous about the surgery and want to understand what exactly happens during it.

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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Anal dilation and sphincter surgery, also known as Lords' Dilatation or lateral internal sphincterotomy, are procedures aimed at widening the anal sphincter and easing the passage of stool. While they can provide relief, they are often considered as a last resort after other treatments have failed, as they can sometimes affect bowel control

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Answered 14/08/2025

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I'm really scared about getting surgery for my fissures and piles, what if my blood pressure shoots up before the operation? How do I know if the doctor will go ahead with the surgery or not, I'm so anxious about this

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Can piles at stage 3 be cured without surgery? I'm looking for ways to heal faster and need advice on medicines that can help manage symptoms better

While surgery is often recommended for stage 3 piles, it's not always the only solution. Non-surgical treatments like rubber band ligation, sclerotherapy, or electrotherapy can be effective, especially for internal hemorrhoids. These procedures work by reducing blood flow to the hemorrhoids, causing them to shrink. Additionally, addressing the underlying cause of the piles, such as constipation, with lifestyle changes like a high-fiber diet and adequate hydration, can help manage symptoms and prevent further progression

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Is there a permanent surgical fix for anal fissures even if I keep having hard stools without a clear cause but want to make sure the fissure doesn't come back

LATERAL INTERNAL SPHINCTEROTOMY Precise and controlled division of the internal anal sphincter muscle is a highly effective and commonly used method to treat chronic and refractory anal fissures, with success rates reported to be over 90%.

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.