Mild and severe anal incontinence after lateral internal sphincterotomy: risk factors, postoperative anatomical findings and quality of life

European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
M KementM Oncel

Abstract

This study aims to evaluate the risk factors for incontinence after lateral internal sphincterotomy (LIS) and assess quality of life in different levels of incontinence. All consecutive patients (n = 253) with chronic anal fissure who underwent LIS between 2003 and 2006 were retrospectively reviewed. All patients were questioned for possible anal incontinence according to the Wexner Incontinence Score (WIS). Demographics, vaginal delivery history, additional procedures and surgeon's experience were evaluated as risk factors. Endoanal ultrasound (EUS) was performed in incontinent patients to assess the thickness of the remaining internal sphincter and to evaluate any injury in the external sphincter. Quality of life was questioned with SF-36. Twenty-eight (11.7%) patients suffered from incontinence (mean WIS = 3.6 ± 2.5). The search for a risk factor was unsuccessful when continent and incontinent groups were compared. In subgroup analyses, patients were found to be suffering from mild (WIS <5, n = 19) or severe (WIS >5, n = 9) incontinence. Vaginal delivery history was found more often in the severely incontinent subgroup than in the continent group (p < 0.05). Also, vaginal delivery history and the additional procedures were m...Continue Reading

References

May 1, 1989·The British Journal of Surgery·I T Khubchandani, J F Reed
Jan 1, 1989·Diseases of the Colon and Rectum·B KlosterhalfenC Mittermayer
May 1, 1988·Diseases of the Colon and Rectum·T H LewisW G Robertson
Aug 1, 1983·Diseases of the Colon and Rectum·H C Kuypers
Jul 1, 1995·Diseases of the Colon and Rectum·P Prohm, C Bönner
Dec 1, 1994·Diseases of the Colon and Rectum·B J PernikoffE P Salvati
Jan 1, 1993·Diseases of the Colon and Rectum·J M Jorge, S D Wexner
Apr 1, 1996·Diseases of the Colon and Rectum·J Garcia-AguilarR D Madoff
May 1, 1997·Diseases of the Colon and Rectum·N Hananel, P H Gordon
May 21, 1998·Diseases of the Colon and Rectum·E García-GraneroS Lledó
Jan 20, 2005·Diseases of the Colon and Rectum·Charles OrsayUNKNOWN American Society of Colon and Rectal Surgeons
May 21, 2005·Diseases of the Colon and Rectum·Sergio CasillasMeng Xu
Sep 14, 2006·Techniques in Coloproctology·J N LundM Pescatori

❮ Previous
Next ❯

Citations

Jan 17, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P GargG R Menon
May 29, 2014·Expert Review of Pharmacoeconomics & Outcomes Research·Giuseppe BrisindaGiorgio Maria
Jul 28, 2020·International Journal of Colorectal Disease·P A BolandP H McCormick

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.