Comment on “Long-term incontinence rates after traditional lateral internal sphincterotomy: a 5-year retrospective analysis from a high-volume tertiary referral center for proctologic disorders” - Takeaways - MDSpire

Comment on “Long-term incontinence rates after traditional lateral internal sphincterotomy: a 5-year retrospective analysis from a high-volume tertiary referral center for proctologic disorders”

  • By

  • R. Liu

  • J. Li

  • R. Geng

  • H. Xu

  • S. Zhong

  • November 15, 2025

  • 0 min

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  • 1

    Lateral internal sphincterotomy (LIS) is the gold standard for chronic anal fissure treatment, balancing efficacy and safety.

  • 2

    Strict inclusion criteria in studies minimize bias, ensuring that continence outcomes are directly attributed to LIS.

  • 3

    Postoperative incontinence may overlap with baseline prevalence, complicating the assessment of LIS-related symptoms.

  • 4

    Time-segmented reporting of outcomes is crucial to distinguish transient disturbances from permanent dysfunction.

  • 5

    Future research should standardize definitions and incorporate patient-reported outcomes to enhance treatment assessment.

Original Source(s)

Comment on “Long-term incontinence rates after traditional lateral internal sphincterotomy: a 5-year retrospective analysis from a high-volume tertiary referral center for proctologic disorders”

  • by R. Liu, J. Li, R. Geng, H. Xu, S. Zhong

  • November 15, 2025

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