✦ MUSCLE OVERLAP REPAIR

Overlapping Sphincteroplasty

Q: How effective is sphincteroplasty for faecal incontinence?

Short-term success rates are 70-80%. Long-term results at 5-10 years show some decline to 50-60% - partly due to progressive nerve damage. Combined with post-operative pelvic floor physiotherapy, outcomes are optimised.

Q: How do I know if I need sphincteroplasty or SNM?

Sphincteroplasty is indicated when endoanal ultrasound confirms a structural sphincter defect. SNM is preferred for neurogenic or idiopathic incontinence with an intact sphincter. Dr. Samhitha determines the appropriate treatment with pre-operative investigations.

Q: Is laser surgery for fecal incontinence available in Hyderabad?

Laser surgery is not a standard treatment for faecal incontinence - which is primarily a sphincter or nerve-related condition. Overlapping sphincteroplasty for structural damage and SNM for neurogenic incontinence are the evidence-based options. Dr. Samhitha will explain all options at consultation.

Q: Is sphincteroplasty for faecal incontinence available at Lux Hospitals?

Yes - Dr. Samhitha Reddy performs overlapping sphincteroplasty at Lux Hospitals, Hyderabad with specialist pelvic floor physiotherapy as part of the complete incontinence treatment programme.

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.

70-80% SHORT-TERM SUCCESS

Direct INJURY INDICATION

1-2 Days HOSPITAL STAY

Obstetric PRIMARY CAUSE

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

70-80%SHORT-TERM SUCCESS

DirectINJURY INDICATION

1-2 DaysHOSPITAL STAY

ObstetricPRIMARY CAUSE

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

Common Questions

Frequently Asked

How effective is sphincteroplasty for faecal incontinence?+

How do I know if I need sphincteroplasty or SNM?+

Is laser surgery for fecal incontinence available in Hyderabad?+

Is sphincteroplasty for faecal incontinence available at Lux Hospitals?+

Not sure which treatment is right for you?

Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.

WhatsApp Us ← Back to Treatments