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Updated: May 23, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Overlapping sphincter repair: does age matter?

G El-Gazzaz1, M Zutshi, C Hannaway

  • 1Pelvic Floor Unit, Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.

Diseases of the Colon and Rectum
|April 4, 2012
PubMed
Summary
This summary is machine-generated.

Age is not a predictor of outcomes after anal sphincter repair. Overlapping sphincteroplasty offers comparable long-term results for both younger and older patients, improving quality of life.

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Area of Science:

  • Colorectal surgery
  • Pelvic floor disorders
  • Surgical outcomes

Background:

  • Predictors of outcomes after anal sphincteroplasty are not well-documented.
  • Understanding factors influencing functional recovery is crucial for patient management.

Purpose of the Study:

  • To evaluate age as a predictor of functional outcome and quality of life after overlapping sphincter repair.
  • To determine if older patients experience different results compared to younger patients.

Main Methods:

  • Retrospective chart review and prospective evaluation using validated questionnaires.
  • Patients undergoing overlapping sphincteroplasty for obstetric sphincter injuries were divided into two age groups: ≤60 years and >60 years.
  • Outcomes assessed using Fecal Incontinence Quality of Life Scale, Fecal Incontinence Severity Index, and Cleveland Global Quality of Life scale.

Main Results:

  • 197 patients (146 ≤60 years, 51 >60 years) with a median follow-up of 7.7 years.
  • No significant differences were found between age groups in Fecal Incontinence Quality of Life Scale, Fecal Incontinence Severity Index, Cleveland Global Quality of Life scale, or patient satisfaction.
  • Groups were comparable for BMI, ethnicity, smoking, and follow-up duration.

Conclusions:

  • Age is not a predictor of long-term outcomes following overlapping sphincter repair.
  • The overlapping sphincteroplasty procedure can be safely offered to both younger and older patients with comparable results.
  • This finding supports the use of this surgical technique across a wide age spectrum.