Affiliation:
1. Physiology Laboratory, Medical University Graz, Austria
Abstract
The operative technique of sphincteroplasty is only for isolated disruption of the sphincter muscle. Patients best suited for surgical corrections are those in whom incontinence is secondary to an anterior (obstetrical) sphincter defect. Due to the disappointing long-term results, the operation may be postponed if appropriate. At present, firstline treatment often is a biofeedback training program. It is well known that a persistent defect after repair is associated with an immediate poor outcome From 1995 - 2003 we have performed 40 sphincteroplasty on 38 patients with a mean age of 34 (range 19 - 71) years. The long-term results the of sphincteroplasty are not so promising. 3 techniques are available for measuring quality of life: Descriptive measures. Severity measures, Impact measures Sphincteroplasty, despite poor long-term results, is the best surgical treatment option for isolated, preferably anterior sphincter defects.
Publisher
National Library of Serbia
Cited by
6 articles.
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1. Incontinence;Complications of Anorectal Surgery;2017
2. Libertas: a phase II placebo-controlled study of NRL001 in patients with faecal incontinence showed an unexpected and sustained placebo response;International Journal of Colorectal Disease;2016-04-13
3. Sphincteroplasty for anal incontinence;Gastroenterology Report;2014-03-04
4. Fecal Incontinence;Prevention and Treatment of Complications in Proctological Surgery;2012
5. Incontinenza fecale;Prevenzione e trattamento delle complicanze in chirurgia proctologica;2011