| The role of sphincteroplasty for fecal incontinence reevaluated: a prospective physiologic and functional review. | |
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MedLine Citation:
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PMID: 1991416 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sixteen female patients (mean age 54.1 years; range 34-74 years) with a 9.8-year (range 1-25 years) history of incontinence to solid stool underwent overlapping sphincteroplasty with internal sphincter imbrication without fecal diversion. All patients were prospectively evaluated with preoperative anorectal manometry, electromyography, and pudendal nerve motor latency assessment, postoperative anorectal manometry, and preoperative and postoperative functional evaluation. Mean and maximal resting pressures increased from 30 mm Hg and 49 mm Hg preoperatively to 40 mm Hg and 57 mm Hg, respectively, postoperatively. Likewise, mean and maximal squeeze pressures increased from 27 mm Hg and 48 mm Hg preoperatively to 39 mm Hg and 73 mm Hg, respectively, postoperatively (P less than 0.01). Furthermore, anal canal high pressure zone length was increased by sphincteroplasty from a mean of 0.9 cm (range 0-3 cm) to a mean of 2.1 cm (range 1-4 cm). These objective physiologic improvements correlated well with subjective functional improvement. Subjectively, functional outcome was rated by patients as excellent in 38 percent, good in 38 percent, fair in 19 percent, and poor in only 5 percent of cases. Overlapping sphincteroplasty with internal sphincter imbrication improves both the anal sphincter physiologic profile and fecal continence. |
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Authors:
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S D Wexner; F Marchetti; D G Jagelman |
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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: 34 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 1991 Jan |
Date Detail:
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Created Date: 1991-03-11 Completed Date: 1991-03-11 Revised Date: 2007-11-15 |
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: 22-30 Citation Subset: IM |
Affiliation:
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Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anal Canal / injuries, innervation, physiopathology*, surgery* Blood Loss, Surgical Electromyography Evaluation Studies as Topic Fecal Incontinence / etiology, physiopathology*, surgery* Female Follow-Up Studies Humans Manometry Middle Aged Pressure Prospective Studies Surgical Procedures, Operative / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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