Audit of anal-sphincter repair
2001 (English)In: Colorectal Disease, ISSN 1462-8910, E-ISSN 1463-1318, Vol. 3, no 1, 17-22 p.Article in journal (Refereed) Published
Structural damage of the anterior part of the anal sphincter is a major cause of faecal incontinence. Sphincter repair is the standard surgical treatment. This study was designed to analyse the results of anal sphincter repair, to identify possible predictors of outcome and to investigate the presence of bowel symptoms other than leakage at follow up.
Patients and methods
Fifty-five women (median age 39 years, range 24–73 years) who underwent anal sphincter repair between 1986 and 1997 at the University Hospital of Linköping answered a postal questionnaire. Current bowel function, degree of continence and the patients’ functional result as worse, unchanged, some improvement, good or excellent were assessed. Good or excellent function was regarded as a successful result, the rest as failure. Age, duration of symptoms, type of surgery, morbidity and length of follow up were analysed in relation to outcome. Results of pre- and post-operative anal manometry, endoanal ultrasound, anal sphincter electromyography and pudendal nerve function were also analysed.
After a median (range) follow-up period of 40 months (5–137) months, 31 (56%) patients rated the result as either excellent (n=10) or good (n=21). Twenty-one (38%) patients rated the result as some improvement (n=14), unchanged (n=6) or worse (n=1). In three (5%) patients a colostomy was fashioned because of failure. Patients >50 years at surgery (n=18) had a worse outcome (P=0.001). Successful outcome was correlated to increased squeeze pressures post-operatively. The presence of post-operative urgency (P=0.01) and loose stools (P=0.02) was more common in patients with poor outcome. Eight patients became continent to formed and liquid stool.
Place, publisher, year, edition, pages
2001. Vol. 3, no 1, 17-22 p.
Anal sphincter repair, Audit, Faecal incontinence
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-25046DOI: 10.1111/j.1463-1318.2001.00205.xLocal ID: 9474OAI: oai:DiVA.org:liu-25046DiVA: diva2:245372