| Autor: |
Carswell, Frida, Dwyer, Peter, Zilberlicht, Ariel, Alexander, James, Bhamidipaty, Madhu, Desousa, Alison, Keck, Jamie, Wong, Alex, Schierlitz, Lore |
| Předmět: |
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| Zdroj: |
International Urogynecology Journal; Feb2023, Vol. 34 Issue 2, p527-534, 8p |
| Abstrakt: |
Introduction and hypothesis: We report our experience with a transvaginal approach with overlapping anal sphincter repair. The aim of this cohort study was to evaluate long-term functional outcomes. Women who had undergone transvaginal anal sphincteroplasty for anal incontinence from July 2005 to July 2020 and attended a multidisciplinary team of urogynaecologists and colorectal surgeons at the Mercy Hospital Perineal clinic were included. Methods: One hundred seven women were included in the study with a median follow-up of 57.5 months. We analysed outcomes by comparing patient's St Mark's score difference before and after surgery. Meaningful clinical difference (MID) was set at 5 points; complications and patient demographics were recorded along with a question about whether they would recommend this treatment to a friend. Results: An improvement was seen in 69.3% of women with a marked improvement in 46.5%. Furthermore, 70% said they would recommend the procedure to a friend, if they were in a similar situation. Wound infection or partial perineal breakdown was reported in 45% of women but did not have a significant impact on outcomes. Conclusion: Transvaginal anal sphincter repair is associated with significant improvements in patients' St. Mark's score. Our data show that the long-term success rate of transvaginal/perineal AS repair may be better than previously reported in the literature with 70% of women satisfied at 57 months. Another benefit of the transvaginal route is the possibility of performing a pelvic floor and perineal repair at the time of surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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