by Guest » 10 Sep 2011, 20:48
Hey Jas,
I'm almost a year post-op and get mild leakage which causes irritation. I have to keep it super clean especially when walking or it gets irritated. It's improved a lot since surgery but I still have it...
Elizabeth,
I'm not sure about the keyhole deformaty. As far as I know that happens when the incision is made top or bottom of the anus, not right or left as is done in LIS.
Here's a little info I found on WebMD:
The sphincter can be divided in a closed (percutaneous ) fashion by tunneling under the anoderm or in an open fashion by cutting through the anoderm. The cut is made on the left or right side of the anus, hence the name "partial lateral internal sphincterotomy." The posterior midline, where the fissure usually is located, is avoided for fear of accentuating the posterior weakness of the muscle surrounding the anal canal. (Additional weakness posteriorly can lead to what is called a keyhole deformity, so called because the resulting anal canal resembles an old fashioned skeleton key. This deformity promotes soilage and leakage of stool.)