[Current indications, surgical technique and results of anterior sphincter repair as a treatment of faecal incontinence]
- PMID: 20137783
- DOI: 10.1016/j.ciresp.2009.10.009
[Current indications, surgical technique and results of anterior sphincter repair as a treatment of faecal incontinence]
Abstract
Faecal incontinence is a high prevalence disease in the general population. This pathology is commonly under-estimated and causes a great impact on clinical status and on the quality of life of affected patients. The prevalence of faecal incontinence in several studies has been estimated between 2% and 15% of the general population. The prevalence increases if we study selected populations, such as elderly people. The main cause of faecal incontinence is obstetric anal sphincter damage. In the past years, the presence of incontinence due to sphincter lesions, especially the obstetric ones, was an absolute indication of anterior anal sphincter repair. Actually, after knowing the long term follow up results of this technique, as well as the evolving knowledge on faecal incontinence and the development of new diagnostic and therapeutic techniques, this technique might be selected for cases with large sphincter defects. However there is limited information in the current literature on indications, surgical technique and results of anterior sphincter repair. The aim of this review is to analyse scientific evidence on current indications, surgical technique features and results of anterior sphincter repair as a therapy for faecal incontinence, also giving our point of view on controversial issues. A bibliography search was undertaken using Medline database including articles published from January 1985 to January 2009.
Copyright 2009 AEC. Published by Elsevier Espana. All rights reserved.
Similar articles
-
[Technic of overlapping sphincter anal repair in the treatment of traumatic anal incontinence].Ann Ital Chir. 1995 May-Jun;66(3):393-6. Ann Ital Chir. 1995. PMID: 8526309 Clinical Trial. Italian.
-
Fecal incontinence. Studies on physiology, pathophysiology and surgical treatment.Dan Med Bull. 2003 Aug;50(3):262-82. Dan Med Bull. 2003. PMID: 13677243 Review.
-
[Biofeedback in faecal incontinence].Chirurg. 2003 Jan;74(1):33-41. doi: 10.1007/s00104-002-0567-5. Chirurg. 2003. PMID: 12552403 Review. German.
-
[Fecal incontinence: prevalence and role of rupture of the anal sphincter during delivery; literature analysis].Ned Tijdschr Geneeskd. 2000 Jul 1;144(27):1318-23. Ned Tijdschr Geneeskd. 2000. PMID: 10918912 Dutch.
-
[External anal sphincter repair using the overlapping technique in patients with anal incontinence and concomitant pudendal nerve damage].Zentralbl Chir. 2008 Apr;133(2):129-34. doi: 10.1055/s-2008-1004734. Zentralbl Chir. 2008. PMID: 18415899 German.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Miscellaneous