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Published in: International Urogynecology Journal 12/2011

01-12-2011 | Original Article

Anal sphincter repair for fecal incontinence: effect on symptom severity, quality of life, and anal sphincter squeeze pressures

Authors: Jonathan Lee Gleason, Alayne Markland, Wm Jerod Greer, Jeff M. Szychowski, Kimberly A. Gerten, Holly E. Richter

Published in: International Urogynecology Journal | Issue 12/2011

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Abstract

Introduction and hypothesis

The objective of this study was to determine the effect of external anal sphincter repair on fecal incontinence symptoms, quality of life, and anal sphincter squeeze pressures.

Methods

The fecal incontinence symptoms and impact on quality of life, patient satisfaction, and anorectal manometry were assessed pre- and post-operatively.

Results

One hundred four women were eligible and 74/104 (71%) returned post-operative questionnaires. Fifty-four of 74 (73%) had pre- and post-operative questionnaires. Twenty-five of 74 (34%) had pre- and post-operative anorectal manometry measures. Mean length of follow-up for participants (n = 54) was 32 ± 19 months. Modified Manchester Health Questionnaire scores decreased from 47.3 ± 21.9 to 28.4 ± 24.3 (p < 0.01) and Fecal Incontinence Severity Index scores from 30.6 ± 13.0 to 21.6 ± 15.5 (p < 0.01). Seventy-seven percent of the participants was satisfied. Sphincter squeeze pressures increased from 53.4 ± 25.0 to 71.8 ± 29.1 mmHg (p < 0.01).

Conclusions

External anal sphincter repair resulted in sustained improvements in fecal incontinence severity and quality of life along with improved anal sphincter squeeze pressures.
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Metadata
Title
Anal sphincter repair for fecal incontinence: effect on symptom severity, quality of life, and anal sphincter squeeze pressures
Authors
Jonathan Lee Gleason
Alayne Markland
Wm Jerod Greer
Jeff M. Szychowski
Kimberly A. Gerten
Holly E. Richter
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 12/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1551-8

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