Urethral sphincter pain

Some patients often feel uncomfortable when urinating, such as inexplicable soreness and pain in the perineum, swelling and discomfort. This type of feeling belongs to the urethral sphincter. When treating the patient, conservative treatment is mainly used. If conservative treatment has no effect, further surgical treatment can be received, because conservative treatment can avoid surgery and the patient's physical tolerance is relatively strong, which is suitable for the general public.

Symptoms and signs

The main symptoms are painless difficulty in defecation, little or no urge to defecate, dry stool, and some patients experience soreness and discomfort in the perineum. Anorectal digital examination shows that the elasticity of the internal sphincter is enhanced, which may be tender, the anal canal pressure is increased, and it is even difficult to enter the anal canal with the fingertips. There is a lot of stool accumulation in the rectum.

Medication

Treatment should be mainly conservative. Anal canal dilation under local anesthesia is effective. When conservative treatment is ineffective, surgical treatment can be considered.

1. Conservative treatment: Oral intake of crude fiber foods and the use of laxatives can achieve temporary results, but cannot cure the disease. Anal dilation under local anesthesia has a certain therapeutic effect. Biofeedback therapy can train the body's control function and has a good therapeutic effect.

2. Surgical treatment: For patients who fail to respond to strict conservative treatment, IAS and partial resection of rectal smooth muscle can be considered. Heaton reported that 53 patients with severe chronic constipation who had not responded to long-term conservative treatment underwent this operation. 48 cases were followed up after the operation, 26 cases had good results, 8 cases had significant improvement, and 14 cases had poor results. Shafik reported 146 patients with primary oligodefecation who underwent IAS resection. After the operation, symptoms of 132 patients (90.4%) improved, and the frequency of bowel movements and rectal pressure returned to normal. There was no recurrence during the follow-up of 3 to 7 years. Therefore, IAS resection is a valuable method for treating spasmodic contraction of the anal sphincter.

Diet and health care

Pay attention to eating a light diet, eating more fruits and vegetables, and combining meals reasonably.

Preventive Care

There is currently no effective prevention measure for this disease, and early detection and diagnosis are the key to its prevention and treatment.