Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/21/2025

Coccyx Removal and Anal Sphincter Control

Complications of Anorectal Procedures

  • Anal sphincterotomy, manual anal dilatation, and hemorrhoidectomy can cause sphincter injury and incontinence, with manual dilatation having a 30% temporary incontinence rate and 10% permanent incontinence rate, according to the World Journal of Emergency Surgery 1, 2
  • These procedures directly manipulate or divide the anal sphincter, resulting in potential sphincter dysfunction, as reported in Clinical Gastroenterology and Hepatology 3, 4