LONG-TERM EVOLUTION OF CONTINENCE AND QUALITY OF LIFE AFTER SPHINCTEROPLASTY FOR OBSTETRIC FECAL INCONTINENCE.

Autor:	Pla-Martí V; Department of Surgery, University of Valencia, Valencia, Spain.; Colorectal Unit, Department of General and Digestive Surgery, Hospital Clínico Universitario de Valencia, Valencia, Spain., Martín-Arévalo J; Colorectal Unit, Department of General and Digestive Surgery, Hospital Clínico Universitario de Valencia, Valencia, Spain., Martí-Fernández R; Colorectal Unit, Department of General and Digestive Surgery, Hospital Clínico Universitario de Valencia, Valencia, Spain., Moro-Valdezate D; Department of Surgery, University of Valencia, Valencia, Spain.; Colorectal Unit, Department of General and Digestive Surgery, Hospital Clínico Universitario de Valencia, Valencia, Spain., García-Botello S; Department of Surgery, University of Valencia, Valencia, Spain.; Colorectal Unit, Department of General and Digestive Surgery, Hospital Clínico Universitario de Valencia, Valencia, Spain., Espí-Macías A; Department of Surgery, University of Valencia, Valencia, Spain.; Colorectal Unit, Department of General and Digestive Surgery, Hospital Clínico Universitario de Valencia, Valencia, Spain., Mínguez-Pérez M; Digestive Motility Unit, Department of Digestive Medicine, Hospital Clínico Universitario de Valencia, Valencia, Spain., Ruiz-Carmona MD; Department of Surgery, Hospital of Sagunto, Valencia, Spain., Roig-Vila JV; Colorectal Unit, Hospital Nisa 9 de Octubre, Valencia, Spain.
Jazyk:	angličtina
Zdroj:	Annals of coloproctology [Ann Coloproctol] 2022 Feb 28; Vol. 38 (1), pp. 13-19. Date of Electronic Publication: 2020 Sep 18.
DOI:	10.3393/ac.2020.09.16
Abstrakt:	Purpose: Evaluate the long-term evolution of continence and patient's quality of life after surgical treatment for obstetric fecal incontinence. Methods: A prospective longitudinal study was conducted including consecutive patients who underwent sphincteroplasty for severe obstetric fecal incontinence. The first phase analyzed changes in continence and impact on quality of life. The second phase studied the long-term evolution reevaluating the same group of patients six years later. Degree of fecal incontinence was calculated using the Cleveland Clinic Score. Quality of life assessment was carried out with the Fecal Incontinence Quality of Life Scale. Results: 35 patients with median age of 55 (range, 28-73) completed the study. Phase One Results: After a postoperative follow-up of 30 months (4-132), Cleveland Clinic Score had improved significantly from a preoperative of 15.7 ± 3.1 to 6.1 ± 5 (p <0.001). Phase Two Results: median follow-up in phase two was 110 months (76- 204). The Cleveland Clinic Score lowered to 8.4 ± 4.9 (p = 0.04). There were no significant differences between phases one and two in terms of quality of life: lifestyle (3.47 ± 0.75 vs. 3.16 ± 1.04), coping/behavior (3.13 ± 0.83 vs 2.80 ± 1.09), depression/self-perception (3.65 ± 0.80 vs 3.32 ± 0.98) and embarrassment (3.32 ± 0.9 vs 3.12 ± 1). Conclusion: Sphincteroplasty offers good short-medium term outcomes in continence and quality of life for obstetric fecal incontinence treatment. Functional clinical results deteriorate over time but did not impact on patients' quality of life.
Databáze:	MEDLINE
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