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International Journal of Colorectal Disease

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01-02-2011 | Original Article

Advancement anoplasty and sacral nerve stimulation: an effective combination for radiation-induced anal stenosis

Authors: Noel N. Thin, Emma V. Carrington, Karyn Grimmer, Charles H. Knowles

Published in: International Journal of Colorectal Disease | Issue 2/2011

Abstract

Introduction

Pelvic radiotherapy can cause anal stenosis. Patients can be left with severe rectal evacuatory difficulties, anal fissuring and resistant faecal incontinence. The management of such patients is difficult since surgical treatment can worsen faecal incontinence.

Case study

We report a patient who was treated for recurrent fissuring and faecal incontinence secondary to severe anal stenosis caused by external beam radiotherapy to his prostate. A 74-year-old male patient underwent excision of the fissuring, fibrotic anal mucosa and internal sphincter and was then treated with a broad-based House advancement anoplasty. The patient’s fissuring was successfully treated but he still suffered from faecal incontinence. The patient underwent sacral nerve stimulation with significant improvement in all faecal incontinence symptoms.

Conclusion

The use of a novel combination of a House advancement anoplasty and sacral nerve stimulation is a safe and effective treatment rationale for treatment of radiation-induced anal stenosis.

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Title: Advancement anoplasty and sacral nerve stimulation: an effective combination for radiation-induced anal stenosis
Authors: Noel N. Thin
Emma V. Carrington
Karyn Grimmer
Charles H. Knowles
Publication date: 01-02-2011
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 2/2011
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-010-1088-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Advancement anoplasty and sacral nerve stimulation: an effective combination for radiation-induced anal stenosis

Abstract

Introduction

Case study

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case study

Conclusion

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