Please use this identifier to cite or link to this item:
http://repository.kln.ac.lk/handle/123456789/1245
Title: | Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence |
Authors: | Deen, K.I. Kumar, D. Williams, J.G. Grant, E.A. Keighley, M.R.B. |
Keywords: | Clinical Trial Randomized Controlled Trial Anal Canal-surgery Anal Canal-physiopathology Fecal Incontinence-physiopathology Pelvic Floor-innervation Pelvic Floor-physiopathology Pelvic Floor-surgery |
Issue Date: | 1995 |
Publisher: | Lippincott Williams and Wilkins |
Citation: | Disease of the Colon and Rectum. 1995; 38(1): pp.14-18 |
Abstract: | PURPOSE:This study was designed to examine the role of adjuvant internal anal sphincter plication in women with neuropathic fecal incontinenceundergoing pelvic floor repair. METHODS: We completed a randomized trial with symptomatic and physiologic assessment before and after surgery. RESULTS: There was no symptomatic advantage of adding internal sphincter plication; the mean improvement of functional score was 3.61 +/- 1.82 (standard deviation; P < 0.01) following pelvic floor repair alone compared with 2.80 +/- 1.66 (standard deviation; P < 0.01) when adjuvant internal and sphincter plication was added. The addition of internal sphincter plication was associated with a significant fall in maximum anal resting and squeezing pressures (P < 0.01). CONCLUSIONS: Addition of internal sphincter plication is not advised in women with neuropathic fecal incontinence treated by pelvic floor repair. |
Description: | Indexed in MEDLINE |
URI: | http://repository.kln.ac.lk/handle/123456789/1245 |
ISSN: | 0012-3706 (Print) 1530-0358 (Electronic) |
Appears in Collections: | Journal/Magazine Articles |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.