pressure test before LIS

doctor saying i should have pressure test before LIS

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pressure test before LIS

Postby Slightlyimperfect » 20 Jun 2015, 02:29

I was after some advice, my doctor has said i need a pressure test before LIS is this normal practise, has anyone had the test, i have a fissue that i am managing at the moment but do have flair ups where i am in agony will this make matters worse?
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Re: pressure test before LIS

Postby msimon » 20 Jun 2015, 13:00

A pressure test is 'anal manometry' and this is where they insert a deflated balloon and then inflate it to various levels of pressure. It measures your sensations as well as the tone of your internal anal sphincter (resting pressure). This is a good test if a Doctor has any uncertainty about whether LIS may make you incontinent or not. Does your CRS have any reason to believe you may (ie., have you had children? Do you not have spasms? Is your fissure not at 6'oclock?). This is definitely normal practice before a second LIS.
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
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Re: pressure test before LIS

Postby Slightlyimperfect » 21 Jun 2015, 03:20

Thanks for getting back to me, i am a male and never has lis before, i thought it was a bit strange i was having the pressure test before my first lis unless the crs is being over precautious ? Been waiting 2 months for the test now even though i went private and thought it was strange reading through the stories on forum noone else seems to have had one done first time round
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Re: pressure test before LIS

Postby msimon » 21 Jun 2015, 12:55

Where do you live? I have heard that LIS is more readily done in some locations than others.
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
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Re: pressure test before LIS

Postby Slightlyimperfect » 21 Jun 2015, 14:03

I am in the UK so seen a few peeps on here who haven't required the test first time round, seems a bit strange
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Re: pressure test before LIS

Postby msimon » 21 Jun 2015, 16:05

I have heard on here that LIS is not commonly done in the UK. So perhaps your CRS is just trying to be extra careful as incontinence is a risk with LIS.
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
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Re: pressure test before LIS

Postby owmybum » 24 Jun 2015, 15:10

I am in the uk and I had to have pressure tests done before any of my surgeries. Over here our CRSs are very cautious and don't take LIS lightly.
The test is ok..... A little embarrassing... But the technicians are very good at making you feel at ease. It didn't make me worse having the pressure test, so don't worry.
fissure after hem banding and tag removal feb 11
Pelvic floor therapy
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Nitro
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EUA and polyps removed Nov 14
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Diagnosed with HS EDS type 3 (causes poor wound healing )
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Re: pressure test before LIS

Postby Slightlyimperfect » 24 Jun 2015, 15:21

Thanks OMB thats set me at ease, reading through the different storys and didnt see many that had test before phew, thought was gonna have to go through more pain with the pressure test. How are things with you, have followed your story and god you have been through it, i hope things are on the up
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Re: pressure test before LIS

Postby owmybum » 26 Jun 2015, 10:19

I'm still waiting for more investigations.... Mine is a case of nerve damage now. I have an appointment with a dr Baranowski in London on the 13 th July.... I'm really hoping there is something that can be done to help. Thanks for asking! X

Don't worry about the test. Inform them you have an active fissure and they will be extra gentle.
fissure after hem banding and tag removal feb 11
Pelvic floor therapy
Diltiazem
Botox June 13
Nitro
Internal flap July 14
EUA and polyps removed Nov 14
Diagnosed with neuropathy Jan 15
Diagnosed with HS EDS type 3 (causes poor wound healing )
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