Anal sphincteroplasty for incontinence after ileal pouch-anal anastomosis. Report of two cases.
OBJECTIVE
This report reviews two patients who underwent anal sphincteroplasty to improve continence after ileal pouch-anal anastomosis (IPAA).


METHODS
A retrospective study of two patients was performed.


RESULTS
Two patients underwent anal sphincteroplasty after IPAA for incontinence, one diagnosed preoperatively and one postoperatively. Both had had previous anal surgery. Satisfactory continence was achieved in both cases, despite modest changes in manometric studies.


CONCLUSIONS
Anal sphincteroplasty should be considered after IPAA. The value of anorectal manometry in this situation is equivocal.
Department of Surgery, University of Nebraska Medical Center, Omaha 68198-3280.
J S
JS
Thompson
E M
EM
Quigley
D000328:Adult; D001003:Anal Canal / Q000502:physiology / Q000601:surgery*; D000714:Anastomosis, Surgical; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008365:Manometry; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome