by VictorianKnight55 » 30 Jun 2017, 19:55
I see, that makes perfect sense.
Based on people's experiences i've been reading, an advancement flap is more invasive. So what you are saying is that you're surgeon is giving you two options: a third sphincterotomy or a flap.
Whichever option you choose, be sure to ask him or her everything that is on your mind: potential complications, healing process, how much muscle will be cut, etc.
Do you know the extent of your first and second LIS? As in how much muscle was cut? That in my opinion is a very important question because the more muscle is cut, the higher the rates of incontinence to flatus and rarely liquid.
Have you considered telling your surgeon to refer you to have an anal manometry test? I haven't had one but it shows you what your squeeze and resting pressures are in mmHg. It gives you a very useful preoperative assessment especially to someone who had more than one sphincterotomy.
The higher your pressures are, the lower the risk of incontinence after surgery. The lower your pressures are, the higher the risk of incontinence after surgery.