| Long-term results of suture rectopexy in patients with fecal incontinence associated with incomplete rectal prolapse. | |
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MedLine Citation:
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PMID: 9336118 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Suture rectopexy is the recommended therapy for complete rectal prolapse that is associated with fecal incontinence. It has been suggested that correction of an incomplete rectal prolapse is also worthwhile for patients with fecal incontinence. PURPOSE: Aims of this study were 1) to evaluate the clinical outcome of suture rectopexy in a consecutive series of patients with incomplete rectal prolapse associated with fecal incontinence, and 2) to compare these results with those obtained from patients with complete rectal prolapse. METHODS: Between 1979 and 1994, suture rectopexy was performed in 13 incontinent patients (3 males; median age, 65 (range, 45-77) years) with incomplete rectal prolapse (Group I) and in 24 incontinent patients (21 females; median age, 71 (range, 24-86) years) with complete rectal prolapse (Group II). RESULTS: After a median follow-up of 67 months, continence was restored in 5 of 13 (38 percent) patients with incomplete rectal prolapse and in 16 of 24 (67 percent) patients with complete rectal prolapse. In both groups, all male patients became continent. CONCLUSIONS: For the majority of incontinent patients with incomplete rectal prolapse, a suture rectopexy is not beneficial. The clinical outcome of this procedure is only good in incontinent patients with complete rectal prolapse. Based on these data, it is questionable whether incomplete rectal prolapse plays a causative role in fecal incontinence. |
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Authors:
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J W Briel; W R Schouten; M O Boerma |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 40 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 1997 Oct |
Date Detail:
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Created Date: 1997-10-30 Completed Date: 1997-10-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1228-32 Citation Subset: IM |
Affiliation:
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Department of General Surgery, University Hospital Dijkzigt, Rotterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Digestive System Surgical Procedures / methods Fecal Incontinence / etiology* Female Follow-Up Studies Humans Male Middle Aged Rectal Prolapse / complications, surgery* Rectum / surgery* Treatment Failure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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