Overlapping anal sphincter repair and anterior levatorplasty: effect of patient's age and duration of follow-up

International Journal of Colorectal Disease
Charles EvansDevinder Kumar

Abstract

Anal sphincter repair can improve function in patients with faecal incontinence but it is unclear which benefit and its long-term efficacy has been questioned. This study aims to assess the functional outcome of a single surgeon series of overlapping anal sphincter repairs with anterior levatorplasty. A retrospective study of 66 patients' case notes and anorectal physiology combined with an interview to assess their current continence and associated quality of life after surgery. Sixty-six female patients, mean age 62.8 years, mean follow-up 45.2 months, were assessed. Functional improvement in continence was seen in 77.1% of patients, which mirrored their subjective rating of surgery (62.7%--good/excellent). Continence grading scores improved from a mean (SD) 9.71 (4.82) pre-surgery to 5.55 (4.11) post-surgery. There was no statistical difference in functional results when stratified by age (<63 years or > or =63 years) or by follow-up [long-term (43-78 months) vs short-term (14-42 months)]. Post-surgical physiology data were not statistically improved compared to pre-surgery. Overlapping anal sphincter repair with anterior levatorplasty is an effective treatment for faecal incontinence. Patient age does not correlate with out...Continue Reading

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Aug 13, 2008·International Journal of Colorectal Disease·Mario Pescatori, Andrew P Zbar
Sep 8, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M ZutshiB Gurland
Sep 5, 2014·International Journal of Colorectal Disease·Gery LamblinGeorges Mellier
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Feb 20, 2015·International Journal of Colorectal Disease·Brendan P McManusJulio Hernánchez-Sánchez
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Apr 30, 2021·International Urogynecology Journal·Carlos Cerdán-SantacruzJavier Cerdán-Miguel

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