The Artificial Bowel Sphincter in the Treatment of Fecal Incontinence, Long-term Complications

Diseases of the Colon and Rectum
Aart A van der WiltJarno Melenhorst

Abstract

Fecal incontinence is a common and debilitating condition, of which the prevalence increases with age. Several medical and minimally invasive treatment modalities are available. However, for patients with greater sphincter defects, these treatments are often not sufficient. For these patients, the artificial bowel sphincter could be an alternative to colostomy. The artificial bowel sphincter has proven to be effective in the short term. Less is known whether the benefits sustain over time. The aim of this study was to assess the long-term outcome of the artificial bowel sphincter in patients with refractory fecal incontinence. A retrospective record review was conducted in conjunction with questionnaires. This study was conducted in a tertiary hospital setting. The primary end point was any complication. The secondary end point was fecal loss. The patients included were adults experiencing severe fecal incontinence treated with artificial bowel sphincter, operated on between 1997 and 2014. Sixty-three patients were included in this study. After a median follow-up of 57 months (range, 1-198), the device had been explanted in 31 patients (49.2%; 95% CI, 36.5-62.0). In total, 101 reoperations were conducted, ranging from 1 to 6 re...Continue Reading

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Citations

Jul 22, 2020·Diseases of the Colon and Rectum·Paul-Antoine LehurGuillaume Meurette
Aug 22, 2021·Obstetrics and Gynecology Clinics of North America·Isuzu Meyer, Holly E Richter

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