Late results of postanal repair for idiopathic faecal incontinence.
OBJECTIVE
To assess the long term clinical results of postanal repair for idiopathic faecal incontinence.


METHODS
Retrospective study.


METHODS
University hospital, The Netherlands.


METHODS
38 patients with idiopathic faecal incontinence.


METHODS
Clinical outcome and its correlation with anorectal manometry.


RESULTS
After a median follow up of 43 months (15-126) 19 patients were classified grades 1 and 2 (satisfied) and 19 patients grades 3 and 4 (dissatisfied). Six patients deteriorated and went from grades 1 or 2 to grade 3 or 4. Satisfied patients had a significant rise in resting pressure (median 13.5 mmHg, p = 0.01, 95% CI 5 to 25) and dissatisfied patients did not.


CONCLUSIONS
Long term follow up of patients after postanal repair shows that half the patients have a good result, although only 21% are fully continent. Long term follow up is necessary as a number of patients deteriorate.
Academic Medical Centre, Department of Surgery, Amsterdam, The Netherlands.
A F
AF
Engel
S J
SJ
van Baal
W H
WH
Brummelkamp
D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery*; D000787:Angina Pectoris / Q000209:etiology; D003125:Colostomy; D005242:Fecal Incontinence / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011312:Pressure; D011655:Pulmonary Embolism / Q000209:etiology; D012008:Recurrence; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology; D016896:Treatment Outcome