POSTOPERATIVE TRAUMATIC ANAL INCONTINENCE

Anal Incontinence and Obstetric Anal Sphincter Tears

PURPOSE: To evaluate the prevalence of anal incontinence (AI) in primiparous women five years after their first delivery; to investigate if an 8-12 hour time delay of primary repair affects AI at 1-year follow-up; to study the association between endoanal ultrasonography and anorectal manometry in relation to AI in primiparous women; to evaluate whether an endoanal ultrasonographic derived sphi...

Anal incontinence after childbirth.

BACKGROUND Incontinence of stool and flatus are frequent complications of childbirth. We examined the prevalence and possible causes of these adverse outcomes in a large cohort of women. METHODS We studied 949 pregnant women who gave birth in 5 hospitals in 1995/96 in the province of Quebec. These women, participants in a randomized controlled trial of prenatal perineal massage, completed a s...

Sphincteroplasty for anal incontinence

Sphincteroplasty (SP) is the operation most frequently performed in patients suffering from moderate-to-severe anal incontinence (AI) who do not respond to conservative treatment. Other costly surgeries, such as artificial bowel sphincter (ABS) and electro-stimulated graciloplasty, have been more or less abandoned due to their high morbidity rate. Minimally invasive procedures are widely used, ...

Anal endosonography in faecal incontinence.

Modern management of anal incontinence

Anal incontinence (AI) reflects the final common pathway of a multitude of aetiological factors and, as an underestimated clinical problem, it represents a major social and economic burden. Its epidemiology and objective assessment of the severity of the problem are discussed in this Special Edition by Nevler from Israel. In the 1980s, the management of AI included some form of sphincter repair...