Late results of anterior sphincter plication for traumatic faecal incontinence.
OBJECTIVE
To assess the long term clinical results of anterior sphincter plication for traumatic rupture of the anal sphincters.


METHODS
Retrospective study.


METHODS
University hospital, The Netherlands.


METHODS
28 consecutive patients with traumatic faecal incontinence after injury to the anal sphincters.


METHODS
Clinical outcome and its correlation with anorectal manometry.


RESULTS
After a mean (SD) follow up of 50 (37) months 21 patients were classified grades 1 and 2 (satisfied) and seven patients were grades 3 and 4 (classified). There were significant differences after operation between the 21 patients in grades 1 and 2 compared with the 7 in grades 3 and 4 in median resting pressure (43 compared with 25 mmHg, p = 0.004, 95% CI 9 to 40), and squeeze pressure (100 compared with 40 mmHg, p = 0.001, 95% CI 15 to 80) but not in length of high pressure zone (3.5 compared with 2.3 cm, p = 0.14, 95% CI -0.2 to +2.2). (Mann Whitney U test was used.)


CONCLUSIONS
Long term follow up of patients after anterior sphincter plication showed good results in three quarters of patients, and 57% were fully continent. Good postoperative results correlate with significant increases in resting and squeeze pressures.
Academic Medical Centre, Department of Surgery, Amsterdam, The Netherlands.
A F
AF
Engel
S J
SJ
van Baal
W H
WH
Brummelkamp
D000009:Abdominal Muscles / Q000601:surgery; D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery*; D003125:Colostomy / Q000009:adverse effects; D005242:Fecal Incontinence / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D017060:Patient Satisfaction; D011312:Pressure; D012007:Rectum / Q000503:physiopathology; D012189:Retrospective Studies; D012421:Rupture; D013529:Surgical Wound Dehiscence / Q000209:etiology; D016896:Treatment Outcome