Incidence of anal incontinence after long-term follow-up of patients treated by ureterosigmoidostomy.
Twenty-eight patients who had been treated with ureterosigmoidostomy after radical cystectomy were examined with special reference to anal incontinence. In the present series, 17 out of 28 patients (60.7%) had daytime and/or nighttime anal incontinence. In these patients preoperative function of the external and sphincter was considered to be sufficient. Anal incontinence occurred immediately after operation in only 3 patients. Incontinence emerged at an average duration of 2.6 years after ureterocolonic anastomosis. Incidence of anal incontinence after ureterosigmoidostomy appeared to be influenced by aging.
Ishigooka
M
M
Department of Urology, Yamagata University, School of Medicine, Japan.
Hashimoto
T
T
Izumiya
K
K
Sasagawa
I
I
Nakada
T
T
D000368:Aged; D000375:Aging / Q000502:physiology; D001003:Anal Canal / Q000502:physiology; D012809:Colon, Sigmoid / Q000601:surgery*; D005242:Fecal Incontinence / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D011471:Prostatic Neoplasms / Q000601:surgery; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects*