Long-term Fecal Incontinence, Recurrence, Satisfaction, and Regret After the Transobturator Postanal Sling Procedure
| Autor: | Peter L. Rosenblatt, William D. Winkelman, Veronica O Demtchouk, Anna M. Modest, Liza Brecher, Adrienne P Erlinger |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Sling procedure
medicine.medical_specialty 030219 obstetrics & reproductive medicine Sling (implant) business.industry Urology General surgery Medical record 030232 urology & nephrology MEDLINE Obstetrics and Gynecology Regret 03 medical and health sciences 0302 clinical medicine Interquartile range medicine Fecal incontinence Surgery medicine.symptom Adverse effect business |
| Zdroj: | Female Pelvic Medicine & Reconstructive Surgery. 27:244-248 |
| ISSN: | 2151-8378 |
| Popis: | Objectives The objective of this study was to assess long-term outcomes after the transobturator postanal sling (TOPAS) procedure for the treatment of fecal incontinence. Long-term recurrence, satisfaction and regret after transobturator postanal sling procedure support the ongoing use of this procedure for patients with fecal incontinence. Methods Both a retrospective review of medical records and a prospective telephone survey were conducted. For the retrospective review of medical records, all patients who underwent the TOPAS procedure at our institution were eligible. Medical records were reviewed to assess for symptom resolution, retreatment, and complications. For the prospective telephone survey, patients who were conversant in English and had a valid contact information were eligible and were asked to complete questions on satisfaction, the Patient Global Impression of Improvement, the Wexner Symptom Severity Score, the Fecal Incontinence Qualify of Life Scale, and the modified Decision Regret Scale. Results A total of 134 patients met the inclusion criteria for the retrospective medical record review. Patients were followed in clinic for a median of 24.0 months (interquartile range, 6.0-53.0). Overall, 75.4% reported improvement in fecal incontinence. There were 37 (27.6%) who required subsequent treatment for fecal incontinence. There were 67 patients eligible for the prospective telephone survey, of whom 46 (68.7%) agreed to participate. Median time between surgery and the telephone survey was 63.5 months (interquartile range, 36.0-98.0). Among these participants, 54.3% were satisfied and 60.9% would recommend the procedure to someone else. No adverse events were identified with long-term follow-up. Conclusions Our findings suggest that the TOPAS procedure remains a safe and effective therapy for the treatment of fecal incontinence with favorable long-term outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|