INTRODUCTION The internal anal sphincter receives a stimulatory alpha(1) adrenergic innervation. Use of an adrenergic agonist may therefore have a role in treating patients with faecal incontinence. METHODS Ten patients (seven females, median age 66 years) with passive faecal incontinence related to weak internal anal sphincter were studied. All patients had intact anal sphincters as assessed...

PURPOSE Hysterectomy is the most common major gynecologic procedure. Unwanted postoperative effects on bowel function are a topic of recent debate. The aim of the present study was to prospectively evaluate the influence of hysterectomy on bowel function. METHODS One hundred and twenty consecutive patients undergoing hysterectomy for benign conditions answered a questionnaire covering bowel h...

Aim: The laser method (FiLaCTM) has recently emerged as a minimally invasive treatment option in the of anal fistula. Anal incontinence and fistula recurrence after surgery are postoperative problems that complicate treatment. In our study, we aimed to investigate effectiveness film which cases it should be preferred Methods: Twelve patients who underwent FiLaCTM diode at Derik State Hospital b...

Introduction: Anal fistulae are still negatively influencing the patient's quality of life by causing minor pain, social hygienic embarrassment, and in severe cases, frank sepsis. Although a number of surgical techniques have been proposed to treat this condition, there is still no single ideal technique for the treatment of this disease. Generally, fistulectomy is an adequate surgical procedur...

Thirteen patients with faecal incontinence and 26 control subjects were studied to investigate whether a quantitative electromyographic (EMG) signal could be correlated to anal manometry. Three different electrodes were used--a concentric needle electrode, a disposable sponge electrode, and a hard anal plug electrode. The maximum amplitude of the EMG recording was used as a quantitative paramet...

The goals of this trial are to determine the efficacy and safety of two treatments for women experiencing fecal incontinence. First, we aim to compare the use of loperamide to placebo and second, to compare the use of anal sphincter exercises with biofeedback to usual care. The primary outcome is the change from baseline in the St. Mark's (Vaizey) Score 24weeks after treatment initiation. As a ...

INTRODUCTION Altemeier's procedure is infrequently applied in European countries and because of the small number of patients treated in each center, its long-term reliability is uncertain. METHODS Medical records of 93 patients (median age, 77 years) undergoing perineal rectosigmoidectomy associated with levatorplasty in 72 patients (78 percent) were reviewed; 65 patients (70 percent) suffere...

INTRODUCTION The aim of this study is to evaluate the anorectal functions of prostate cancer patients who have undergone radical perineal prostatectomy (RPP) or radical retropubic prostatectomy (RRP) surgery. MATERIAL AND METHODS Thirty-seven patients with an indication for radical prostatectomy were included after informed consent. Anorectal manometry was performed before and one month after...

Pelviperineology 2012; 31: 62-64 http://www.pelviperineology.org The fifth section of the book “Pelvic floor disordersImaging and Multidisciplinary Approach to Management” entitled “Fecal Incontinence” consists of twelve chapters divided into two subsections describing diagnostic modalities and management for this disorder. In the first chapter “Three-dimensional Endoluminal Ultrasonography” G....

OBJECTIVE To estimate obstetric risk factors of fecal incontinence among middle-aged women. METHODS We conducted a mail survey of the Gazel cohort of volunteers for epidemiologic research. In 2000, a questionnaire on anal incontinence was mailed to 3,114 women who were then between the ages of 50 and 61 years; 2,640 (85%) women returned the completed questionnaire. Fecal incontinence was defi...