STUDY OBJECTIVE To determine the prevalence of urinary and anal incontinence during pregnancy and immediately postpartum in a convenience sample of African American teenaged women in an urban setting and to assess for an association between this incontinence and obstetrical risk factors. METHODS 74 African American adolescents, ages 14-19, participated in the study. During third trimester pre...

BACKGROUND It has been suggested that the effects of sacral nerve stimulation against fecal incontinence involve neuromodulation at spinal or supraspinal levels. OBJECTIVE This study aims to investigate the afferent sensory pathways from the anorectum before and during sacral nerve stimulation. DESIGN This is an explorative study. PATIENTS Fifteen women with idiopathic fecal incontinence ...

1 Wong WD, Wexner SD, Lowry AC, et al. Practice parameters for the treatment of diverticulitis—supporting documentation. The Standards Task Force. The American Society of Colon and Rectal Surgeons. Dis Colon Rectum 2000; 43: 290–97. 2 Vermeulen J, Coene PP, Van Hout NM, et al. Restoration of bowel continuity after surgery for acute perforated diverticulitis: should Hartmann’s procedure be consi...

PURPOSE This study prospectively investigated the effects of biofeedback therapy on objective anorectal function and subjective bowel function in patients after sphincter-saving surgery for rectal cancer. METHODS Sixteen patients who underwent an ileostomy were randomized into two groups, one receiving conservative management with the Kegel maneuver and the other receiving active biofeedback ...

BACKGROUND Existing scales for assessing faecal incontinence have not been validated against clinical assessment, or with regard to reproducibility. They also fail to take into account faecal urgency, and the use of antidiarrhoeal medications. AIMS To establish the validity, and sensitivity to change, of existing scales and a newly designed incontinence scale. METHODS (1) Twenty three patie...

BACKGROUND Of the few studies that have investigated quality-of-life (QoL) outcomes after transanal endoscopic microsurgery (TEM), the majority have reported only short-term follow-up data. This study assessed long-term clinical and instrumental outcomes (QoL, sexual, urinary and sphincter function) after TEM for extraperitoneal rectal cancer. METHODS Preoperative and postoperative anorectal ...

Rectal prolapse associated with traumatic fecal incontinence is a rare clinical combination. This study was designed to assess Delorme's operation with sphincteroplasty as a surgical management of this combination in terms of recurrence and improvement of fecal incontinence. In this prospective study, we enrolled patients suffering from short, full-thickness rectal prolapse associated with trau...

Gilles Salles,1 Stephen J. Schuster,2 Sven de Vos,3 Nina D. Wagner-Johnston,4 Andreas Viardot,5 Kristie A. Blum,6 Christopher R. Flowers,7 Wojciech J. Jurczak,8 Ian W. Flinn,9 Brad S. Kahl,10 Peter Martin,11 Yeonhee Kim,12 Sanatan Shreay,12 Matthias Will,13 Bess Sorensen,13 Madlaina Breuleux,13 Pier Luigi Zinzani14 and Ajay K. Gopal15 1Hospices Civils de Lyon, University Claude Bernard, Pierre ...

INTRODUCTION Functional results after low anterior resection for rectal cancer are an issue of increasing attention among colorectal surgeons and others interested in this subject. The consensus on ideal reconstruction type has not been achieved to date, although the number of papers on this subject has been published in recent years. OBJECTIVE We conducted a prospective, parallel group study...

OBJECTIVES Anatomical and functional results of a modified sacral perineocolporectopexy for extreme forms of complex pelvic organs prolapse. MATERIAL AND METHODS Between 2005 and 2010, 10 women aged 47-75 years were treated by abdomino-perineal implantation of polypropylene mesh for modified sacral perineocolporectopexy and subsequently followed-up. They were suffering from enterocele (9 pts)...