Is the extent of obstetric anal sphincter injury correlated with the severity of fecal incontinence in the long term?

Abstract:

BACKGROUND:Obstetric anal sphincter injury is the most frequent cause of fecal incontinence (FI) in young women. However, the relationship between the extent of anal sphincter defects and the severity of long-term FI (at least 1 year after delivery) has been poorly studied. The aim of the present study was to determine if, in the long term, the extent of anal sphincter defects graded at anal endosonography was linked with the severity of FI. METHODS:A retrospective study was conducted on women with a history of vaginal delivery, who presented with FI and had three-dimensional anorectal high-resolution manometry and endoanal ultrasound in our center from January 2015 to 2016. The detailed clinical history of each patient was obtained from the institutional database. The severity of FI was assessed with the Jorge and Wexner continence scale. RESULTS:There were 250 women with a mean age of 60 ± 14 years. Seventy-six (30.4%) had an isolated defect of the internal anal sphincter, 21 (8.4%) had an isolated defect of the external anal sphincter, and 150 (60%) had both internal and external sphincter defects. The extent of IAS and EAS defects was proportionally correlated with the decrease in mean resting anal pressure (p < 0.01) and the decrease in mean squeeze pressure (p = 0.013) measured by 3DHRAM. No significant correlation was found between the extent and location of the defect (IAS, EAS or both) on endoanal ultrasound and the severity of FI. Menopause was the only independent factor significantly associated with the severity of FI. CONCLUSIONS:In our study, no significant correlation was observed between the extent of the anal sphincter defect and the severity of FI. Menopause was the only identified and independent risk factor for FI. These data confirm that, in the long-term, FI is often multifactorial.

journal_name

Tech Coloproctol

authors

Luciano L,Bouvier M,Baumstarck K,Vitton V

doi

10.1007/s10151-019-02128-1

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

49-55

issue

1

eissn

1123-6337

issn

1128-045X

pii

10.1007/s10151-019-02128-1

journal_volume

24

pub_type

杂志文章
  • Robotic-assisted transanal total mesorectal excision for rectal cancer: technique and results from a single institution.

    abstract:BACKGROUND:Total mesorectal excision (TME) has greatly reduced the local recurrence rate of rectal cancer after colorectal surgery. Transanal TME (TaTME) is potentially a suitable option for patients with mid and low rectal cancer. Robotic systems overcome the limitations of laparoscopic surgery. The aim of this study ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02337-z

    authors: Ye J,Shen H,Li F,Tian Y,Gao Y,Zhao S,Liu B,Tong W

    更新日期:2020-09-21 00:00:00

  • General principles of hepatectomy in colorectal liver metastases.

    abstract::Hepatic resection for colorectal liver metastases remains the only therapeutic option that improves long-term survival and offers potential cure. By conventional resectability criteria, only a limited number of patients with metastatic disease can be subjected to surgical intervention. In the past decade, better under...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0750-0

    authors: Maroulis I,Karavias DD,Karavias D

    更新日期:2011-10-01 00:00:00

  • Total rectal lumen obliteration after stapled haemorrhoidopexy: a cautionary tale.

    abstract::We describe obliteration of the rectal lumen during stapled haemorrhoidopexy in a patient with marked mucosal prolapse. The complication was recognised immediately and continuity was restored by performing a limited Delorme's procedure. The possible cause of this complication is explored and serves as a reminder that ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-007-0382-6

    authors: Brown S,Baraza W,Shorthouse A

    更新日期:2007-12-01 00:00:00

  • Transanal resection of rectal neoplasms using the Harmonic Scalpel.

    abstract::The currently used technology for transanal excision of rectal neoplasms is diathermy. However, control of bleeding is sometimes difficult. The Harmonic Scalpel provides a "dry" surgical field which facilitates the procedure and allows complete resection of the neoplasm with greater accuracy. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-008-0427-5

    authors: Rabau M

    更新日期:2008-09-01 00:00:00

  • Locating polyps by endoscopy with or without videolaparoscopy, radioguided occult colonic lesion identification or magnetic endoscopic imaging: the way forward to complete polyp removal.

    abstract::Endoscopic polypectomy is the gold standard for the treatment of colorectal polyps. In the case of non-palpable lesions or to complete polyp removal, the lesions are located intra-operatively. With the advent of laparoscopy, identifying their position is even more important because there is no opportunity for intestin...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0180-3

    authors: D'Annibale A,Serventi A,Orsini C,Morpurgo E

    更新日期:2004-12-01 00:00:00

  • Chemoprevention of colorectal cancer: an update.

    abstract::Colorectal cancer (CRC) is the leading cause of cancer-related mortality in western countries. Adjuvant treatment does not seem to be highly effective and recurrent or metastatic disease occurs in half of the new cases within one year of diagnosis and median survival does not exceed 18 months. CRC represents an optima...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-004-0170-5

    authors: Serrano D,Lazzeroni M,Decensi A

    更新日期:2004-12-01 00:00:00

  • Sacrococcygeal dimensions and curvature are associated with resection quality in rectal cancer excision.

    abstract:BACKGROUND:Technical factors affect oncologic outcomes in rectal cancer surgery. The anatomy of the bony pelvis can affect technical aspects of surgery, but is seldom considered preoperatively. We performed a morphometric analysis of the bony pelvis in patients having rectal cancer resection to assess its effect on sur...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02273-y

    authors: Simpson G,Marks T,Blacker S,Smith D,Walsh C

    更新日期:2020-10-01 00:00:00

  • The utilization of intraluminal formalin for intractable rectal haemorrhage in advanced rectal cancer: a case report.

    abstract::A patient with a metastatic fixed low rectal carcinoma presented severe rectal bleeding requiring massive transfusion over with a 36-hour period. Bleeding was controlled with the instillation of a 4% intrarectal formalin solution permitting the completion of a course of neoadjuvant chemoradiotherapy. This technique ha...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-005-0193-6

    authors: Zbar AP,Bernstein S,Greaves N,Iniss M,Shenoy RK

    更新日期:2005-04-01 00:00:00

  • Robotic-assisted laparoscopic segmental resection with rectoanal anastomosis: a new approach for the management of complicated rectourethral fistula.

    abstract::Various transanal and perineal surgical techniques have been described for the treatment of rectourethral fistula (RUF). However, these techniques are poorly suited for complicated fistulas. Here, we present a novel minimally invasive procedure: robotic-assisted laparoscopic segmental resection with rectoanal anastomo...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0913-7

    authors: Lee KH,Lee MR,Pigazzi A

    更新日期:2013-10-01 00:00:00

  • Long-term outcome of sacral neuromodulation for chronic refractory constipation.

    abstract:PURPOSE:Sacral neuromodulation has been reported as a treatment for severe idiopathic constipation. This study aimed to evaluate the long-term effects of sacral neuromodulation by following patients who participated in a prospective, open-label, multicentre study up to 5 years. METHODS:Patients were followed up at 1, ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-017-1613-0

    authors: Maeda Y,Kamm MA,Vaizey CJ,Matzel KE,Johansson C,Rosen H,Baeten CG,Laurberg S

    更新日期:2017-04-01 00:00:00

  • Perioperative outcomes and adverse events of robotic colorectal resections for inflammatory bowel disease: a systematic literature review.

    abstract::The purpose of this study was to assess outcome measures and cost-effectiveness of robotic colorectal resections in adult patients with inflammatory bowel disease. The Cochrane Library, PubMed/Medline and Embase databases were reviewed, using the text "robotic(s)" AND ("inflammatory bowel disease" OR "Crohn's" OR "Ulc...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-018-1766-5

    authors: Renshaw S,Silva IL,Hotouras A,Wexner SD,Murphy J,Bhan C

    更新日期:2018-03-01 00:00:00

  • Robotic multivisceral pelvic resection: experience from an exenteration unit.

    abstract:BACKGROUND:Pelvic exenteration remains a viable and effective treatment option for the management of locally advanced or recurrent pelvic malignancy. The aim of this study was to present an early experience of robotic multivisceral resection of pelvic malignancy, and to compare this experience with similar series throu...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02290-x

    authors: Smith N,Murphy DG,Lawrentschuk N,McCormick J,Heriot A,Warrier S,Lynch AC

    更新日期:2020-11-01 00:00:00

  • Five-year follow-up of Doppler-guided hemorrhoidal artery ligation.

    abstract:BACKGROUND:Doppler-guided hemorrhoidal artery ligation (DGHAL) was described as lower risk and a less painful alternative to hemorrhoidectomy. We report our experience and 5-year follow-up with this procedure. METHODS:Between May 2003 and December 2004, 100 patients with symptomatic Grade II or III hemorrhoids underwe...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0801-6

    authors: Avital S,Inbar R,Karin E,Greenberg R

    更新日期:2012-02-01 00:00:00

  • Preoperative staging of perforated diverticulitis by computed tomography scanning.

    abstract:BACKGROUND:Treatment of perforated diverticulitis depends on disease severity classified according to Hinchey's preoperative classification. This study assessed the accuracy of preoperative staging of perforated diverticulitis by computerized tomography (CT) scanning. METHODS:All patients who presented with perforated...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0853-2

    authors: Gielens MP,Mulder IM,van der Harst E,Gosselink MP,Kraal KJ,Teng HT,Lange JF,Vermeulen J

    更新日期:2012-10-01 00:00:00

  • Colectomy without mechanical bowel preparation in the private practice setting.

    abstract:BACKGROUND:Despite randomized trials and meta-analyses demonstrating the safety of omitting mechanical bowel preparation (MBP) before colorectal surgery, private practice surgeons may hesitate to eliminate MBP for fear of being outside community standards. This study evaluated the safety of eliminating MBP before colec...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-0990-2

    authors: Otchy DP,Crosby ME,Trickey AW

    更新日期:2014-01-01 00:00:00

  • Robotic transanal total mesorectal excision: a pilot study.

    abstract:BACKGROUND:The introduction of transanal minimally invasive surgery (TAMIS) in 2009 allowed colorectal surgeons to approach transanal access with a different perspective. This has lead to the development of TAMIS for total mesorectal excision (TME). We have previously described robotic transanal TME and here report our...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1181-5

    authors: Atallah S,Martin-Perez B,Pinan J,Quinteros F,Schoonyoung H,Albert M,Larach S

    更新日期:2014-11-01 00:00:00

  • Brachial plexus injury as a complication after colorectal surgery.

    abstract::Peripheral neuropathy associated with anesthesia is a significant source of morbidity and the second most frequent cause of professional liability in anesthetic practice. Nerve injuries are a well-recognised complication of anesthesia. Brachial plexus neuropathy is a rare syndrome with an incidence of 1.6 cases per 10...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-005-0212-7

    authors: Brill S,Walfisch S

    更新日期:2005-07-01 00:00:00

  • C-reactive protein as a marker of complicated diverticulitis in patients on anti-inflammatory medications.

    abstract:BACKGROUND:Diverticulitis is a common indication for surgical emergency room admission, often leading to abdominal computed tomography (CT) scanning for both diagnosis and staging. C-reactive protein (CRP) has been identified as a useful biomarker of inflammation. Aspirin and corticosteroids are known to down-regulate ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1044-5

    authors: Nizri E,Spring S,Ben-Yehuda A,Khatib M,Klausner J,Greenberg R

    更新日期:2014-02-01 00:00:00

  • Ultrasonographic evaluation of anal endometriosis: report of four cases.

    abstract:BACKGROUND:The presence of endometriosis in the anal canal and perianal tissues is rare and difficult to suspect at clinical examination. We report our experience with preoperative ultrasound evaluation of four cases of anal endometriosis. METHODS:Four patients were evaluated by transperineal and high-resolution three...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1176-2

    authors: Kołodziejczak M,Sudoł-Szopińska I,Santoro GA,Bielecki K,Wiączek A

    更新日期:2014-11-01 00:00:00

  • The bother of anal incontinence and St. Mark's Incontinence Score.

    abstract:BACKGROUND:Patient self-report is important in the assessment of the impact of anal incontinence (AI) on quality of life. This study aimed to (1) determine the correlation between total St. Mark's Incontinence Score (SMIS) and a single-item visual analogue scale (VAS) for bother from AI, and (2) determine the correlati...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-015-1397-z

    authors: Paka C,Atan IK,Dietz HP

    更新日期:2016-02-01 00:00:00

  • Hepatic resection for metastasis from colorectal cancer.

    abstract:BACKGROUND:Liver metastases from colorectal cancer are treatable and potentially curable when hepatic resection is applied. This paper is to illustrate surgical treatment of metastatic colorectal cancer in China. PATIENTS AND METHODS:Between January 1993 and December 2002, 485 patients with colorectal liver metastases...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-004-0109-x

    authors: Ji ZL,Peng SY,Yuan AJ,Li PJ,Zhang W,Yu Y

    更新日期:2004-11-01 00:00:00

  • Identification of anastomotic leakage after colorectal surgery using microdialysis of the peritoneal cavity.

    abstract:BACKGROUND:Early detection of colorectal anastomotic leakage (AL) may lead to better outcome. AL may be preceded by change in local metabolism and local ischaemia. Microdialysis of the peritoneal cavity is able to measure these changes in real-time and is minimally invasive. The aim of this prospective cohort study was...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1020-0

    authors: Daams F,Wu Z,Cakir H,Karsten TM,Lange JF

    更新日期:2014-01-01 00:00:00

  • Local gentamicin reduces perineal wound infection after radiotherapy and abdominoperineal resection.

    abstract:BACKGROUND:Perineal wound complications are frequently observed after abdominoperineal resection (APR) for rectal cancer, especially in preoperatively irradiated patients. This is the first study to investigate whether local application of gentamicin-impregnated collagen fleece reduces deep perineal wound infection aft...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-008-0440-8

    authors: de Bruin AF,Gosselink MP,Wijffels NA,Coene PP,van der Harst E

    更新日期:2008-12-01 00:00:00

  • One-third of patients fail to return to work 1 year after surgery for colorectal cancer.

    abstract:BACKGROUND:Achieving full recovery after colorectal cancer surgery means a return to normal physical and psychological health and to a normal social life. Recovery data focusses on time to discharge rather than longer term functionality including return to work (RTW). We aim to assess return to normal holistic function...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1232-y

    authors: Bhalla A,Williams JP,Hurst NG,Speake WJ,Tierney GM,Tou S,Lund JN

    更新日期:2014-12-01 00:00:00

  • Percutaneous nerve evaluation based on electrode placement under control of autonomic innervation.

    abstract:BACKGROUND:Foramen needle electrode placement for percutaneous nerve evaluation (PNE) is currently carried out while observing the somatic motor response. This study investigated electrode placement while observing the autonomic as well as the somatic response. METHODS:A consecutive series of ten patients (seven women...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1160-x

    authors: Kneist W,Kauff DW,Schröder M,Koch KP,Lang H

    更新日期:2014-08-01 00:00:00

  • Endoscopic pilonidal sinus treatment (E.P.Si.T.).

    abstract::We present a new video-assisted minimally invasive technique for the treatment of pilonidal disease (E.P.Si.T: endoscopic pilonidal sinus treatment). Between March and November 2012, we operated on 11 patients suffering from pilonidal disease. Surgery is performed under local or spinal anesthesia using the Meinero fis...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1016-9

    authors: Meinero P,Mori L,Gasloli G

    更新日期:2014-04-01 00:00:00

  • Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review.

    abstract::There is still no clear consensus about surgical treatment of anal fistulas. Fistulotomy or fistulectomy and primary sphincter reconstruction is still regarded with skepticism. The aim of this systematic review was to evaluate the evidence in the literature supporting the use of this technique in the treatment of comp...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-015-1323-4

    authors: Ratto C,Litta F,Donisi L,Parello A

    更新日期:2015-07-01 00:00:00

  • The circumferential resection margin in rectal carcinoma surgery.

    abstract::After radical resection of rectal carcinoma, the circumferential resection margin (CRM) on the non-peritonealized surface of the resected specimen is of critical importance. Histopathological examination of resected specimens must include careful assessment of the CRM. There is a need to distinguish between CRM-positi...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-005-0226-1

    authors: Hermanek P,Junginger T

    更新日期:2005-12-01 00:00:00

  • Evaluation by three-dimensional anal endosonography of injectable silicone biomaterial (PTQ) implants to treat fecal incontinence: long-term localization and relation with the deterioration of the continence.

    abstract:BACKGROUND:The purposes of the study were the long-term evaluation of silicone implants with three-dimensional (3D) anal endosonography and its correlation with anal incontinence. METHODS:Fifteen patients were injected with silicone because of anal incontinence and co-existing internal anal sphincter disruption (n = 8...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-009-0502-6

    authors: de la Portilla F,Vega J,Rada R,Segovia-Gonzáles MM,Cisneros N,Maldonado VH,Espinosa E

    更新日期:2009-09-01 00:00:00

  • Perioperative blood transfusion in cancer patients undergoing laparoscopic colorectal resection: risk factors and impact on survival.

    abstract:BACKGROUND:Perioperative blood transfusion has been associated with a poor prognosis in patients undergoing surgery for colorectal cancer. The aim of this study was to evaluate risk factors for blood transfusion and its impact on long-term outcome exclusively in patients undergoing laparoscopic surgery for curable colo...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1014-y

    authors: Ghinea R,Greenberg R,White I,Sacham-Shmueli E,Mahagna H,Avital S

    更新日期:2013-10-01 00:00:00