Longterm results of total pelvic floor repair for postobstetric fecal incontinence

dc.contributor.authorKorsgen, S.en_US
dc.contributor.authorDeen, K.I.en_US
dc.contributor.authorKeighley, M.R.B.en_US
dc.creator.corporateauthorAmerican Proctologic Societyen_US
dc.creator.corporateauthorAmerican Society of Colon and Rectal Surgeonsen_US
dc.date.accessioned2014-10-29T09:15:08Z
dc.date.available2014-10-29T09:15:08Z
dc.date.issued1997en_US
dc.descriptionIndexed in MEDLINE
dc.description.abstractPURPOSE:This study was designed to assess the long-term results of total pelvic floor repair for postobstetric neuropathic fecal incontinence. METHOD: Sixty-three of 75 women who had undergone total pelvic floor repair for postobstetric neuropathic fecal incontinence were traced and interviewed a median of 36 (18-78) months after surgery. Thirty-nine patients agreed to repeat anorectal physiology. RESULTS: Six patients required further surgery for persistent incontinence (colostomy, 4; graciloplasty, 2). For the remaining 57 patients, incontinence improved greatly in 28 (49 percent) patients, mildly in 13 (23 percent), and not at all in 16 (28 percent); daily incontinence was present in 41 patients (73 percent) before the operation but persisted in 13 (23 percent). Only eight (14 percent) patients were rendered completely continent; those with marked improvement were socially more active than those with little or no improvement. Resting and maximum squeeze pressures, anal canal sensation, rectal sensation, and pudendal nerve terminal motor latency did not predict outcome. Perineal descent, obesity, and a history of straining before the operation were all associated with a poor outcome. CONCLUSION: Total pelvic floor repair rarely renders patients with postobstetric neuropathic fecal incontinence completely continent but substantially improves continence and lifestyle in approximately one-half of them. The operation is less successful in obese patients and in those with a history of straining or perineal descent.
dc.identifier.citationDisease of the Colon and Rectum. 1997; 40: pp.835-839en_US
dc.identifier.departmentSurgeryen_US
dc.identifier.issn0012-3706 (Print)en_US
dc.identifier.issn1530-0358 (Electronic)en_US
dc.identifier.urihttp://repository.kln.ac.lk/handle/123456789/1319
dc.publisherLippincott Williams and Wilkinsen_US
dc.subjectFecal Incontinence
dc.subjectFecal Incontinence-etiology
dc.subjectFecal Incontinence-physiopathology
dc.subjectFecal Incontinence-surgery
dc.subjectObstetric Labor Complications
dc.subjectPregnancy Complications
dc.subjectPelvic Floor-surgery
dc.subjectAnal Canal-physiopathology
dc.subjectRectum-physiopathology
dc.subjectLongitudinal Studies
dc.titleLongterm results of total pelvic floor repair for postobstetric fecal incontinenceen_US
dc.typeArticleen_US

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