[Disappointing results of postanal repair in the treatment of fecal incontinence].
OBJECTIVE
To evaluate the long-term results after postanal repair in patients with faecal incontinence.


METHODS
Retrospective study.


METHODS
Rotterdam.


METHODS
Thirty-seven patients, who underwent postanal repair during the period 1984-1992, were approached by telephone to determine the current functional status.


RESULTS
The median duration of follow-up was 38 months (range: 4-94). One year after the operation 24 patients (65%) were continent. In 22 patients this successful outcome was observed within the first half year. In seven patients (29%) incontinence recurred. In 13 patients (35%) the functional results were disappointing from the very beginning. The final outcome, which was good in 46% of the patients, was not influenced by the underlying aetiology.


CONCLUSIONS
Postanal repair is not beneficial for the majority of patients with faecal incontinence. Therefore, it should be considered if other treatment modalities, such as biofeedback and the electrically stimulated M. gracilis neosphincter might not be preferable.
Academisch Ziekenhuis Rotterdam-Dijkzigt, afd. Heelkunde.
J W
JW
Briel
W R
WR
Schouten
D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery*; D005242:Fecal Incontinence / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D026741:Physical Therapy Modalities; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome
Teleurstellende resultaten van achterste reefplastiek bij de behandeling van incontinentia alvi.