Can You Train Your Internal Sphincter? Post-Surgery Scar Softening Tips - Surgery

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Hello! Thank you for your questions regarding the internal sphincter and scar softening post-surgery. Let’s address each of your inquiries in detail.

1. Can You Train Your Internal Sphincter?

The internal sphincter is a smooth muscle that is not under voluntary control, unlike the external sphincter, which is a striated muscle and can be consciously controlled. While you cannot "train" the internal sphincter in the same way you would train skeletal muscles, you can improve its function indirectly through pelvic floor exercises. These exercises primarily target the external sphincter and pelvic floor muscles, which can help support the internal sphincter’s function.
Kegel exercises are commonly recommended for this purpose. They involve contracting and relaxing the pelvic floor muscles, which can enhance the overall strength and coordination of the pelvic region. This can lead to better control over bowel and bladder functions, potentially benefiting the internal sphincter indirectly.
If you are experiencing issues related to sphincter control, it may be beneficial to consult a pelvic floor physical therapist. They can provide tailored exercises and techniques to improve muscle coordination and strength in the pelvic area.

2. Can Scars Still Soften After a Year?
Scar tissue formation is a natural part of the healing process after surgery. While scars typically mature over time, the process can vary significantly from person to person. Generally, scars can continue to change and soften for up to two years post-surgery. After a year, there is still potential for the scar to soften and become less noticeable, although the extent of this change may be limited compared to the earlier months following surgery.

To promote scar softening, consider the following tips:
- Massage: Gently massaging the scar tissue can help break down collagen fibers and improve blood flow to the area. Use a moisturizing lotion or oil to reduce friction during the massage.


- Silicone Gel Sheets or Silicone Gel: These products can help flatten and soften scars. They are often recommended for use on mature scars and can be effective when used consistently over time.


- Hydration: Keeping the scar moisturized can prevent it from becoming too dry and tight, which can contribute to discomfort and restrict movement.


- Sun Protection: Protecting the scar from sun exposure is crucial, as UV rays can darken scars and make them more noticeable. Use sunscreen or cover the scar when exposed to sunlight.


- Consultation with a Specialist: If you are concerned about the appearance or texture of your scar, consider consulting a dermatologist or a plastic surgeon. They can provide options such as laser therapy, microneedling, or other treatments that may help improve the scar’s appearance.

In conclusion, while you cannot directly train the internal sphincter, you can enhance its function through pelvic floor exercises. Additionally, there is still a chance for your scar to soften after a year, and employing various techniques can aid in this process. If you have further concerns or specific symptoms, it’s always best to consult with your healthcare provider for personalized advice and treatment options. Thank you for your questions, and I wish you the best in your recovery journey!