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Related Experiment Videos

Postanal repair for faecal incontinence.

M R Keighley

    Journal of the Royal Society of Medicine
    |April 1, 1984
    PubMed
    Summary

    Postanal repair surgery for fecal incontinence showed a 63% success rate in patients with complete fecal and flatus control. Poor outcomes were linked to wound sepsis and prior surgeries, especially in male patients.

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    Area of Science:

    • Colorectal surgery
    • Pelvic floor disorders
    • Fecal incontinence treatment

    Background:

    • Fecal incontinence significantly impacts quality of life.
    • Various surgical interventions exist for fecal incontinence.
    • Postanal repair is a recognized surgical option.

    Purpose of the Study:

    • To evaluate the outcomes of postanal repair for fecal incontinence.
    • To identify factors associated with successful and unsuccessful outcomes.

    Main Methods:

    • Retrospective analysis of 105 patients undergoing postanal repair between 1977 and 1983.
    • Data collected on reasons for surgery, complications, and functional outcomes.
    • Follow-up assessment of fecal and flatus control.

    Main Results:

    • 63% (56/89) of patients achieved complete fecal and flatus control post-surgery.
    • 19 patients gained control of solid feces only; 14 reported no improvement.
    • Complications included one post-operative death, wound sepsis, and poorer outcomes in men and those with prior surgeries.

    Conclusions:

    • Postanal repair can be effective for fecal incontinence, with a majority achieving good control.
    • Wound sepsis and previous operations are negative prognostic factors.
    • Careful patient selection and management of complications are crucial for optimal results.

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