Anal sphincter repair for fecal incontinence: effect on symptom severity, quality of life, and anal sphincter squeeze pressures
| Autor: | Wm Jerod Greer, Alayne D. Markland, Jeff M. Szychowski, Holly E. Richter, Kimberly A. Gerten, Jonathan L. Gleason |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Manometry External anal sphincter Urology Anal Canal Severity of Illness Index digestive system Article Quality of life Surveys and Questionnaires Severity of illness otorhinolaryngologic diseases medicine Humans Fecal incontinence Postoperative Period Digestive System Surgical Procedures Retrospective Studies business.industry digestive oral and skin physiology Symptom severity Obstetrics and Gynecology Middle Aged Surgery Treatment Outcome medicine.anatomical_structure Patient Satisfaction Anal sphincter repair Quality of Life Sphincter Female medicine.symptom Anal sphincter business Fecal Incontinence Follow-Up Studies Muscle Contraction |
| Zdroj: | International Urogynecology Journal. 22:1587-1592 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | The objective of this study was to determine the effect of external anal sphincter repair on fecal incontinence symptoms, quality of life, and anal sphincter squeeze pressures.The fecal incontinence symptoms and impact on quality of life, patient satisfaction, and anorectal manometry were assessed pre- and post-operatively.One hundred four women were eligible and 74/104 (71%) returned post-operative questionnaires. Fifty-four of 74 (73%) had pre- and post-operative questionnaires. Twenty-five of 74 (34%) had pre- and post-operative anorectal manometry measures. Mean length of follow-up for participants (n = 54) was 32 ± 19 months. Modified Manchester Health Questionnaire scores decreased from 47.3 ± 21.9 to 28.4 ± 24.3 (p0.01) and Fecal Incontinence Severity Index scores from 30.6 ± 13.0 to 21.6 ± 15.5 (p0.01). Seventy-seven percent of the participants was satisfied. Sphincter squeeze pressures increased from 53.4 ± 25.0 to 71.8 ± 29.1 mmHg (p0.01).External anal sphincter repair resulted in sustained improvements in fecal incontinence severity and quality of life along with improved anal sphincter squeeze pressures. |
| Databáze: | OpenAIRE |
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