Internal Lateral Sphincterotomy

I want to share this with you as I have had a break from my pain.

I have had almost 3 weeks with a good reduction of pain following an internal lateral sphincterotomy. I have had so called 'prostatitis' for 17 years and been swallowing muscle relaxants, pain killers and antibiotics most of the time with no success. During this long illness, I have always had problems relaxing my muscles to have bowel movement and also often very slow or poor uring streams. Also during this time I have had alot of anal itching and anal skin problems.

After using Terazosin, my bowel movements improved dramamtically as did my urinary flow for the last 7 years until the anal fissure happened at the start of the year. Then it suddenly terazosin seemed to have no effect at all anymore. I went to the urologist and my GP and went through all the usual tests, blood, uring, MRI etc and even came very close to having my prostate removed.

After the anal fissure got bad, I went down the colorectal route. I did a colonoscopy and it turned out everything was good inside the colon apart from a few piles. The colorectal advised me that the muscle in my anus (the internal sphincter) was locked in a permanent spasm and restricting the blood supply to the anal muscle, keeping the anal fissure open and giving me more pelvic pain and keeping the constipation going - a viscious circle. In my case anyway, to me it feels that the anal problems have been contributing to my pelvic pain

This is the best I have felt in 17 years, although not totally pain free on a scale of 1 to 10 , I have gone from a 7 to a 1 or 2..

If we tighten our anal muscles, we cant urinate and so if these muscles go into spasm it can affects our urination and in my case has contributed greatly to the increasein pelvic pain I have had this year.

I am not taking any medication at all so far and my colorectal surgeon says any residual pain may only be nerve pain.

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