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Clinical Trial
. 1995 Jan;38(1):14-8.
doi: 10.1007/BF02053851.

Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence

K I Deen  1 , D Kumar, J G Williams, E A Grant, M R Keighley
Affiliations
Clinical Trial

Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence

K I Deen et al. Dis Colon Rectum. 1995 Jan.

Abstract

Purpose: This study was designed to examine the role of adjuvant internal anal sphincter plication in women with neuropathic fecal incontinence undergoing pelvic floor repair.

Methods: We completed a randomized trial with symptomatic and physiologic assessment before and after surgery.

Results: There was no symptomatic advantage of adding internal sphincter plication; the mean improvement of functional score was 3.61 +/- 1.82 (standard deviation; P < 0.01) following pelvic floor repair alone compared with 2.80 +/- 1.66 (standard deviation; P < 0.01) when adjuvant internal and sphincter plication was added. The addition of internal sphincter plication was associated with a significant fall in maximum anal resting and squeezing pressures (P < 0.01).

Conclusions: Addition of internal sphincter plication is not advised in women with neuropathic fecal incontinence treated by pelvic floor repair.

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