Constipation, obstructed defecation, and fecal incontinence are frequent complaints in multiple sclerosis. The literature on the pathophysiological mechanisms underlying these disorders is scant. Using anorectal manometry, we compared the anorectal function in patients with and without multiple sclerosis. 136 patients referred from our Center for Multiple Sclerosis to the Coloproctology Outpati...

Obstetric anal sphincter injury is the leading cause of faecal incontinence in women. Concerns have been expressed that some sphincter injuries are missed at the time of vaginal childbirth. There has also been a steady increase in the number of medico-legal cases associated with obstetric sphincter injury. Accurate diagnosis of third and fourth degree tears at the time of childbirth followed by...

OBJECTIVES To evaluate the effectiveness of Botulinum toxin injection in the treatment of anal fissure. METHODS 38 patients (22 males, 16 females; mean age (SD) of 33.3 (8.3) years) who have presented to Surgical Outpatient Clinic at Al Ain Hospital, United Arab Emirates, with anal fissure in the period between June 2000 and September 2001 and treated with Botulinum toxin injection were retro...

PURPOSE Pelvic floor rehabilitation is an appealing treatment for patients with fecal incontinence but reported results vary. This study was designed to assess the outcome of pelvic floor rehabilitation in a large series of consecutive patients with fecal incontinence caused by different etiologies. METHODS A total of 281 patients (252 females) were included. Data about medical history, anal ...

Background: Anal fissure is one of the most common ano-rectal diseases and 10% of patients ultimately receive surgery. Lateral internal sphincterotomy is highly effective and is the surgical treatment of choice for curing chronic anal fissure with hypertonicity after failure of conservative measures. LIS has a high success rate, but can have complications as bleeding and incontinence. There can...

CC This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Figure 1. The low mean resting anal pressure (28 mmHg), maximum squeezing pressure (135 ...

Adequate oncological outcomes have been demonstrated with rectal resection and handsewn coloanal anastomosis (CAA) in tumours in close proximity to the internal anal sphincter. Our aim was to assess functional differences between handsewn CAA and ultralow stapled anastomosis. Participants were identified from a single-surgeon series. Included participants underwent anorectal physiology testing ...

AIM To evaluate the convenience in terms of recurrence and fecal incontinence rates of fibrin glue versus surgical treatment in the management of fistula-in-ano. MATERIALS AND METHODS Randomized controlled trials (RCTs) and non-randomized studies (CCTs) comparing conventional surgical treatment versus fibrin glue treatment in patients with perianal fistulae were identified using a predefined ...

The aim of this study was to define pelvic floor function in patients with multiple sclerosis and bowel dysfunction, either incontinence (MSI) or defecation difficulties without incontinence (MSC). Normal controls and patients with idiopathic neurogenic faecal incontinence without multiple sclerosis (FI, disease controls) were also studied. Thirty eight multiple sclerosis patients (20 incontine...

BACKGROUND New sphincter-saving approaches have been applied in the treatment of perianal fistula in order to avoid the risk of fecal incontinence. Among them, the fibrin glue technique is popular because of its simplicity and repeatability. The aim of this review is to compare the fibrin glue application to surgery alone, considering the healing and complication rates. METHODS We performed a...