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[Sphincteroplasty in traumatic anal incontinence]
D Gleditsch1, A Nesbakken, K Nygaard
1Gastroenterologisk seksjon Kirurgisk klinikk Aker sykehus 0514 Oslo. dagledit@online.no
Summary
Surgical repair of traumatic anal sphincter injuries in young women, often due to childbirth or fistula surgery, yielded satisfactory results. Most patients experienced improved anal continence after sphincter repair and associated procedures.
Area of Science:
- Colorectal Surgery
- Female Pelvic Medicine
- Reconstructive Surgery
Context:
- Anal incontinence significantly impacts quality of life in young women.
- Obstetric trauma and anal fistula surgery are common causes of anal sphincter injury.
- Surgical intervention is often necessary to restore anal function.
Purpose:
- To evaluate the surgical outcomes for anal sphincter injuries in young women.
- To assess the efficacy of the overlap technique for external anal sphincter repair.
- To determine the success rate of combined surgical procedures for anal incontinence.
Summary:
- Seventeen young women with anal sphincter injuries underwent surgical repair between 1992 and 1997.
- The overlap technique was used for external anal sphincter repair, with additional procedures like puborectalis plication and perineoplasty.
- Postoperative follow-up showed improved anal continence in 12 out of 16 patients, with 8 achieving complete continence.
Impact:
- Surgical repair of traumatic anal sphincter injuries can significantly improve anal function and quality of life.
- The findings support surgical intervention as an effective treatment for anal incontinence in young women.
- This study contributes to understanding the long-term functional outcomes of sphincter repair techniques.