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International Journal of Colorectal Disease

Published in:

01-11-2008 | Review

Continence disorders after anal surgery—a relevant problem?

Authors: A. Ommer, F. A. Wenger, T. Rolfs, M. K. Walz

Published in: International Journal of Colorectal Disease | Issue 11/2008

Abstract

Subject

Anal incontinence is a well-known and feared complication following surgery involving the anal sphincter, particularly if partial transection of the sphincter is part of the surgical procedure.

Methods

The literature was reviewed to evaluate the risk of postoperative incontinence following anal dilatation, lateral sphincterotomy, surgery for haemorrhoidal disease and anal fistula.

Results

Various degrees of anal incontinence are reported with frequencies as follows: anal dilatation 0–50%, lateral sphincterotomy 0–45%, haemorrhoidal surgery 0–28%, lay open technique of anal fistula 0–64% and plastic repair of fistula 0–43%. Results vary considerably depending on what definition of “incontinence” was applied. The most important risk factors for postoperative incontinence are female sex, advanced age, previous anorectal interventions, childbirth and type of anal surgery (sphincter division). Sphincter lesions have been reported following procedures as minimal as exploration of the anal canal via speculum.

Conclusions

Continence disorders after anal surgery are not uncommon and the result of the additive effect of various factors. Certain risk factors should be considered before choosing the operative procedure. Since options for surgical repair of postoperative incontinence disorders are limited, careful indications and minimal trauma to the anal sphincter are mandatory in anal surgery.

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Title: Continence disorders after anal surgery—a relevant problem?
Authors: A. Ommer
F. A. Wenger
T. Rolfs
M. K. Walz
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 11/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-008-0524-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Continence disorders after anal surgery—a relevant problem?

Abstract

Subject

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Subject

Methods

Results

Conclusions

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