OBJECTIVE To evaluate the relation between midline episiotomy and postpartum anal incontinence. DESIGN Retrospective cohort study with three study arms and six months of follow up. SETTING University teaching hospital. PARTICIPANTS Primiparous women who vaginally delivered a live full term, singleton baby between 1 August 1996 and 8 February 1997: 209 who received an episiotomy; 206 who d...

Fistulas in ano is an abnormal connection between anal canal and perianal skin. There are two subtypes occur on the basis of course fistulous tract involvement external sphincter simple complex. Complex fistula challenging to manage due risk recurrence fecal incontinence even experienced hands. A myriad surgical procedures available armamentarium surgeon for ages placement seton one answer this...

AIM We assessed feasibility of the transanal minimally invasive surgery (TAMIS) procedure and quality of life postoperatively. PATIENTS AND METHODS A total of 28 patients with rectal lesions were treated using TAMIS at Southmead Hospital, North Bristol NHS Trust. Outcome measures included feasibility of excision, negative margin (R0) resection rate, length of hospital stay, morbidity and mort...

chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. reduction of hypertonocity is a special treatment for fissure healing. for this purpose chronic anal fissures were conventionally treated by anal dilatation or by lateral sphincterotomy. however, both of these methods may cause a degree of incontinence in some patients. the uptake of m...

BACKGROUND/AIMS Gradient of resting pressure across the anal canal, which is known to have a role in continence mechanism, has 2 components of determination; pressure and length factor of the anal canal. This study evaluates which factor between them plays more significant role for the determination of the gradient in association with continence function. METHODS Anal manometric measurements ...

Two female patients aged 62 and 44 years with progressive systemic sclerosis and passive faecal incontinence are described. Both had the typical gut motility disorders of dysphagia, heartburn, and constipation. Anorectal physiology tests showed a low resting pressure in both and an absent rectoanal inhibitory reflex in one. In both patients anal endosonography showed a thin internal anal sphinc...

PURPOSE Few studies have examined whether bioengineering can improve fecal incontinence. This study designed to determine whether injection of porous polycaprolactone beads containing autologous myoblasts improves sphincter function in a dog model of fecal incontinence. METHODS The anal sphincter of dogs was injured and the dogs were observed without and with (n = 5) the injection of porous p...