Artificial anal sphincter for severe fecal incontinence implanted by a transvaginal approach: experience with 32 patients treated at one institution

Diseases of the Colon and Rectum
F MichotJean-Jacques Tuech

Abstract

Our aim was to evaluate medium-term results of transvaginal implantation of an artificial anal sphincter in a large series of patients. Women undergoing treatment for severe fecal incontinence at Rouen University Hospital, Rouen, France, from January 2003 through December 2007 were eligible for the study if the fecal incontinence had lasted for 6 months and if they had attempted other therapies without success. All patients received implantation of an artificial anal sphincter via a transvaginal approach. Incontinence was assessed with the Cleveland Clinic Florida Fecal Incontinence Scale (Wexner score). A total of 32 women entered the study. Their median age was 63 (range, 26-79) years. At entry, 20 (63%) had severe destruction and scarring of the perineum, which was a contraindication for implantation via a perineal approach. Nine patients (28.1%) had previously undergone implantation of an AAS which had been removed because of complications, and 5 had had a Pickrell procedure for anal agenesia. No deaths occurred during the study. The device was removed in a total of 9 patients (28.1%): in 7 because of septic adverse events within the first 6 months after the operation, in 1 because of poor function, and in 1 for psychologic...Continue Reading

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Citations

Apr 20, 2012·Diseases of the Colon and Rectum·Maher A AbbasLinda J Chun
Jun 22, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N ChéreauY Parc
Mar 13, 2014·Surgical Endoscopy·Andreas M KaiserSteven D Wexner
Jul 31, 2013·Journal of the American College of Surgeons·Kwang Dae HongSteven D Wexner
Apr 7, 2016·Diseases of the Colon and Rectum·Mary L ForteRobert L Kane
Apr 29, 2015·Current Problems in Surgery·Scott R SteeleNina S Jacobson
Oct 23, 2013·Cell Transplantation·Aurélie BissonMarek Lamacz
Jul 12, 2014·Journal of Clinical Gastroenterology·Satish S C Rao
Jul 18, 2020·United European Gastroenterology Journal·Ferdinando D'AmicoLaurent Peyrin-Biroulet
Dec 24, 2013·The International Journal of Artificial Organs·Yongbing WangGuozheng Yan
Dec 24, 2013·The International Journal of Artificial Organs·Jelka Masin-SpasovskaGoce Spasovski

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