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Old 07-28-2009, 09:00 PM   #1
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Would a lateral sphincterotomy help prolapsed hemorrhoids?

I'm a 27 year old, physically fit male. I have had internal hemorrhoids (which often bleed into the toilet) for about 9 years now that have progressed to the point where they prolapse and sometimes need pressure to reinsert back into the anus when I have a BM.

I went to see a specialist for them and he recommending the band litigation and also noticed a fissure that he felt could be chronic. He mentioned the lateral sphincterotomy procedure as an option for the fissure at this time (which made me naseous and start sweating profusely - I've found out since that the lateral sphincterotomy insn't so bad).

My question is: Would a lateral sphincterotomy help with the prolapsed hemorrhoids? I think they may be caused by excessive straining due to the tight spincter (which I didn't realize I was doing until describing to the doctor my bowel habits).

Thanks!

 
Old 07-29-2009, 07:51 AM   #2
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Re: Would a lateral sphincterotomy help prolapsed hemorrhoids?

Are you sure you have hemorrhoids? I too had a chronic fissure and I also what I thought were prolapsing hemorrhoids. It turned out that what I thought was a prolapsing hemorrhoid was actually an enlarged papilla that was prolapsing during a BM. Enlarged papilla are commonly found with a fissure.

I had LIS, removal of the enlarged papilla and removal of an external skin tag (another common sign of fissure) and now all is well.

 
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Old 07-29-2009, 09:07 PM   #3
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Re: Would a lateral sphincterotomy help prolapsed hemorrhoids?

Thanks for your reply! I'm pretty sure there are two internal hemorrhoids that prolapse with every BM. I underwent 4 of the Laser IRC treatments in attempt to shrink them with no lasting effect. The doctor told me several times they are very large, especially for someone my age (27). I've had at least 3 doctors have a "look" and none have mentioned anything different (such as the enlarged papilla that you mentioned).

I'm curious b/c I feel the cause of the hemorrhoids may be from straining to get out a BM b/c the spincter is too tight. I'm starting to think that the LIS procedure could help losen everything up, making it easier to go and hence less toilet time and straining. Any thoughts???

I've been told I'm a tight-@$$, but now I don't think this is exactly what people meant. j/k

 
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