Clinical assessment and anorectal manometry before postanal repair: failure to predict outcome

It has been suggested that preoperative measurement of resting anal canal pressure and internal sphincter function can be used to identify those patients with neurogenic faecal incontinence who are unlikely to benefit from the operation of postanal repair. We have therefore analysed the results of the operation in 62 patients (six men and 56 women, mean age 59 years, range 30-83 years) and related clinical outcome to preoperative assessment of: resting anal canal pressure, the presence of gape and a combination of gape and low resting pressure. None of these factors was found to predict a poor result after postanal repair.