Overlapping Sphincteroplasty
Surgical repair of the torn or weakened external anal sphincter using an overlapping technique - the most effective surgical treatment for faecal incontinence caused by direct sphincter muscle injury.
What is Overlapping Sphincteroplasty?
Overlapping Sphincteroplasty repairs a defect in the external anal sphincter - the primary voluntary bowel control muscle. The torn or scarred sphincter muscle ends are identified, freshened, and brought together in an overlapping configuration to restore sphincter circumferential integrity.
Dr. Samhitha Reddy performs overlapping sphincteroplasty at Lux Hospitals, Hyderabad for patients with faecal incontinence due to a clearly identified sphincter defect - most commonly following obstetric injury, previous anal surgery, or trauma. Pre-operative endoanal ultrasound is essential to confirm the defect. As part of the fecal incontinence treatment in Hyderabad programme, it is the surgical treatment of choice when structural sphincter damage is the cause.
Overlapping sphincteroplasty is most effective when performed for a clearly identified sphincter defect on endoanal ultrasound. Patients with neurogenic or idiopathic incontinence (intact sphincter, nerve damage) respond better to SNM.
How the Procedure Works
Pre-operative Endoanal Ultrasound
Endoanal ultrasound precisely maps the sphincter defect - extent, depth, and location - confirming suitability for sphincteroplasty.
Anaesthesia & Positioning
Spinal or general anaesthesia. Patient in lithotomy position. Enema bowel preparation prior to surgery.
Sphincter Identification
A curved incision overlying the sphincter defect identifies and mobilises the scarred sphincter ends adequately for tension-free overlap.
Overlapping Repair
The sphincter ends are brought together in an overlapping configuration and secured with non-absorbable mattress sutures - restoring sphincter circumference and tension.
Levatoroplasty (If Indicated)
The puborectalis and levator ani muscles may be plicated posteriorly - narrowing the anorectal angle and providing additional support. Wound closed in layers.
Outcomes
Who Needs This Treatment?
- →Directly repairs the structural cause of incontinence - not a symptomatic treatment
- →70-80% short-term improvement in faecal incontinence episodes
- →Suitable for obstetric sphincter tears, surgical damage, and traumatic injury
- →Can be combined with levatoroplasty for improved long-term outcome
- →Definitive surgical repair - no implanted device required
- →Available at Lux Hospitals, Hyderabad with comprehensive post-operative pelvic floor rehabilitation
Sphincteroplasty gives us the ability to directly repair what was broken. When a patient has a clear structural defect - particularly after an obstetric injury - the opportunity to restore sphincter integrity and give them back bowel control is enormously rewarding.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Overlapping Sphincteroplasty Cost in Hyderabad
The cost of overlapping sphincteroplasty in Hyderabad depends on the extent of sphincter damage, the cause of the defect, the complexity of the repair, investigations required, and the care needed before and after surgery.
For patients with obstetric or traumatic sphincter defects, the approximate cost of overlapping sphincteroplasty ranges between ₹80,000 and ₹1,60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Overlapping Sphincteroplasty | ₹80,000 – ₹1,60,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Overlapping Sphincteroplasty Cost
The overall cost may depend on:
- →
Severity and extent of sphincter defect: The size, location, and cause of the sphincter injury, along with the severity of symptoms, may influence treatment planning.
- →
Pre-operative evaluation: Required investigations, clinical examination, anorectal assessment, and medical evaluations before surgery may affect the overall cost.
- →
Additional procedures: If procedures such as scar tissue repair, pelvic floor rehabilitation, or treatment of associated bowel conditions are required, the cost may vary.
- →
Hospital stay and post-operative care: The duration of admission, medicines, wound care, bowel management, and follow-up requirements may influence the final estimate.
Is Overlapping Sphincteroplasty Covered by Insurance?
Overlapping sphincteroplasty may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether overlapping sphincteroplasty is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.