Re: Sphincterplasty- Long term results???
I didn't have a R/V but had a s-plasty 2 years ago. In the beginning I had a BM many times a day, I couldn't get it all out in one go and couldn't feel if there was still some BM in there I'm pretty sure that this is due to nerve damage from the surgery, I had no nerve damage prior to the surgery and afterwards (due to the Y-incision, where they cut across and therefore severe nerves) the area was more numb and I couldn't always feel if there was something in the rectum. I was pretty annoyed by this, even though in general my muscles were working better than before.
Luckily the nerves are now gradually starting to come back, so I can feel more of what's happening down there and I usually have a BM once a day now and can hold it in more than long enough to get to a bathroom (unlike before, when I had to rush).
My advice is that if you don't need a s-plasty, don't do it. What is your main issue, the fistula or have you also got a severe tear of the muscle? The outcome of my surgery is better now than right afterwards. Hopefully the nerves will continue to grow back and it will work better and better with time. Also having a smaller passage way (they make your anus smaller) is not always easy to pass all the stool, I've read about others complaining about this. I wish they would change the surgery since it is already 20 years old and they still do the exact same surgery.
If I could ever give these surgeons a tip, it would be not to do the incision across the perineum (ie. severing more nerves than necessary) or make the anus too tight, but I guess they have some protocol to follow.