Related Experiment Video
Updated: Aug 2, 2026
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Anal incontinence surgery: a small personal experience
1Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia. wisbister@bigfoot.com
ANZ Journal of Surgery
|May 26, 2001
Summary
Overlapping sphincter repair improves fecal incontinence in Saudi Arabia, with 72% of patients reporting improvement. Dynamic graciloplasty is not recommended due to cultural factors affecting neosphincter function.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- The incidence of fecal incontinence in Saudi Arabia is not well-documented.
- Few patients currently seek treatment for fecal incontinence.
Purpose of the Study:
- To assess available treatments for fecal incontinence.
- To evaluate the outcomes of surgical interventions for fecal incontinence.
Main Methods:
- Retrospective audit of 30 patients surgically treated for anal incontinence over 8 years.
- Analysis of causes, severity, duration, sphincter pressures, surgical procedures, and outcomes.
- Inclusion of Wexner incontinence scores for pre- and post-operative assessment.
Main Results:
- Overlapping sphincter repair in 18 patients resulted in 72% improvement, with a mean Wexner score reduction from 10.4 to 5.0.
- Previous fistula surgery was the most common cause of incontinence.
- Dynamic graciloplasty in 5 patients showed limited success.
Conclusions:
- Overlapping sphincter repair is a safe and effective treatment for localized sphincter defects in Saudi Arabia.
- Dynamic graciloplasty is not suitable for this population due to cultural and social factors impacting neosphincter function.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...