Sphincterotomy in Vietnam

Sphincterotomy in Vietnam is increasingly chosen by patients suffering from chronic anal fissures who seek a safe, effective, and affordable surgical solution. With modern colorectal surgery units, experienced surgeons, and significantly lower treatment costs than in many Western countries, Vietnam has become a practical destination for this short but highly effective procedure.

This comprehensive guide explains what sphincterotomy is, who needs it, how the procedure is performed in Vietnam, expected outcomes, recovery, risks, costs, and why international patients consider Vietnam for sphincterotomy.

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What Is Sphincterotomy?

Sphincterotomy, most commonly Lateral Internal Sphincterotomy (LIS), is a minor surgical procedure used to treat chronic anal fissure. It involves carefully cutting a small portion of the internal anal sphincter muscle to reduce muscle spasm, improve blood flow, and allow the fissure to heal.

Unlike temporary medical treatments, sphincterotomy addresses the root cause of chronic fissures: excessive sphincter pressure.

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Conditions Treated With Sphincterotomy

Sphincterotomy is primarily indicated for:

• Chronic anal fissure (lasting longer than 6–8 weeks)

• Recurrent fissures that do not respond to medication

• Severe anal pain during and after bowel movements

• Fissures associated with sphincter hypertonicity

It is not typically used for anal fistula, hemorrhoids, or abscesses unless combined with other procedures.

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Why Conservative Treatment Sometimes Fails

Initial treatment for anal fissures usually includes:

• High-fiber diet

• Stool softeners

• Warm sitz baths

• Topical medications (nitroglycerin, calcium channel blockers)

However, in many patients:

• Pain causes involuntary sphincter spasm

• Blood flow to the fissure is reduced

• Healing becomes impossible

When symptoms persist despite proper medical therapy, sphincterotomy becomes the gold-standard treatment.

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Types of Sphincterotomy Performed in Vietnam

Vietnamese colorectal centers perform sphincterotomy using internationally accepted techniques.

1. Lateral Internal Sphincterotomy (LIS)

This is the most common and effective form.

Key features:

• Small incision at the side of the anus

• Partial division of the internal sphincter muscle

• Can be performed as an open or closed technique

Success rate: Over 90–95% fissure healing

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2. Tailored Sphincterotomy

In selected patients, surgeons may adjust the length of muscle cut based on fissure severity and sphincter pressure, reducing the risk of complications.

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Sphincterotomy Procedure in Vietnam: Step by Step

Preoperative Assessment

Before surgery, patients undergo:

• Clinical examination

• Review of symptoms and prior treatments

• Exclusion of other anorectal conditions

• Basic blood tests (if required)

International patients can often submit medical information online before arrival.

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During the Procedure

• Performed under local, spinal, or short general anesthesia

• Duration: 15–30 minutes

• No large incisions or tissue removal

• Minimal blood loss

The procedure is typically done as day surgery.

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After the Procedure

• Short observation period

• Pain relief medications provided

• Discharge on the same day or next morning

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Recovery After Sphincterotomy

Immediate Recovery

• Pain relief often felt within days

• Easier bowel movements

• Reduced anal spasm

Recovery Timeline

• Return to normal activities: 2–5 days

• Full healing: 2–4 weeks

• Complete fissure healing: up to 6 weeks

Most patients report dramatic improvement in quality of life shortly after surgery.

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Postoperative Care and Lifestyle Advice

Doctors in Vietnam typically recommend:

• High-fiber diet

• Adequate hydration

• Stool softeners for 1–2 weeks

• Warm sitz baths

• Avoiding straining during bowel movements

Follow-up visits are usually scheduled within 1–2 weeks.

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Risks and Complications

Sphincterotomy is considered very safe when performed by experienced surgeons.

Possible Risks (Rare):

• Minor bleeding

• Infection

• Temporary gas incontinence

• Very rare fecal incontinence

Careful patient selection and proper surgical technique significantly reduce these risks.

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Success Rate of Sphincterotomy

• Healing rate: 90–95%

• Pain relief: often immediate or within days

• Recurrence rate: very low

Compared with long-term medical therapy, sphincterotomy provides faster and more durable results.

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Cost of Sphincterotomy in Vietnam

One of the strongest advantages of choosing Vietnam is affordability.

Average Cost Range

• Sphincterotomy: USD 800 – 2,000

What Is Usually Included?

• Surgeon’s fee

• Anesthesia

• Operating room cost

• Medications

• Day-care or short hospital stay

• Postoperative follow-up

In comparison, sphincterotomy in the US, UK, or Australia can cost USD 4,000–8,000 or more.

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Quality of Colorectal Surgery in Vietnam

Vietnam has made notable progress in colorectal and anorectal surgery.

Key Strengths:

• Experienced colorectal surgeons

• Modern operating rooms

• Minimally invasive techniques

• High patient volumes

• International-standard infection control

Major cities such as Ho Chi Minh City, Hanoi, and Da Nang offer specialized colorectal services.

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Sphincterotomy for International Patients

Vietnam is increasingly popular among international patients seeking:

• Short treatment duration

• Affordable care

• Minimal waiting time

• Personalized attention

Medical tourism services often assist with:

• Appointment scheduling

• Hospital coordination

• Language support

• Travel and accommodation planning

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How Long Should You Stay in Vietnam?

• Preoperative consultation: 1–2 days

• Surgery and recovery: 2–3 days

• Optional follow-up: 5–7 days total stay

Many patients combine treatment with short rest or recovery in comfortable hotels.

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Is Sphincterotomy in Vietnam Safe?

Yes. When performed in accredited hospitals by trained colorectal surgeons, sphincterotomy in Vietnam is safe, effective, and reliable. The procedure follows the same clinical guidelines used in leading international centers.

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Who Is an Ideal Candidate?

You may be a good candidate if you:

• Have chronic anal fissure (>6–8 weeks)

• Experience severe pain during bowel movements

• Did not improve with medical treatment

• Want a definitive solution

A consultation with a colorectal surgeon is essential to confirm suitability.

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Sphincterotomy vs Other Treatments

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Why Choose Vietnam for Sphincterotomy?

Vietnam offers:

• High success rates

• Affordable costs

• Experienced surgeons

• Short hospital stays

• Personalized medical care

• Safe and welcoming environment

For patients seeking a definitive solution to chronic anal fissure without excessive expense, Vietnam is an excellent choice.

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Final Thoughts

Sphincterotomy in Vietnam provides a safe, effective, and cost-efficient solution for chronic anal fissures that do not respond to conservative treatment. With modern surgical facilities, skilled colorectal surgeons, and strong patient support services, Vietnam continues to attract both regional and international patients for this procedure.

If chronic anal pain is affecting your quality of life, sphincterotomy in Vietnam may offer fast relief and long-term healing—helping you return to normal life with confidence.