Randomized trial comparing three forms of pelvic floor repair for neuropathic faecal incontinence.
A randomized controlled trial in women with neuropathic faecal incontinence compared total pelvic floor repair (n = 12) with anterior levatorplasty and sphincter plication alone (n = 12) and postanal repair alone (n = 12). Review at 6 and 24 months indicated that results were significantly better for total pelvic floor repair than either of the other procedures. Complete continence was achieved in eight of the 12 patients 2 years after total pelvic floor repair. Only total repair significantly elongated the anal canal. Both total pelvic floor repair and anterior levatorplasty improved sensation in the upper anal canal.
Deen
K I
KI
Department of Surgery, Queen Elizabeth Hospital, Birmingham, UK.
Oya
M
M
Ortiz
J
J
Keighley
M R
MR
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000503:physiopathology; D003672:Defecation / Q000502:physiology; D005242:Fecal Incontinence / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009132:Muscles / Q000601:surgery*; D010388:Pelvis / Q000601:surgery*; D011184:Postoperative Period; D011312:Pressure; D012007:Rectum / Q000503:physiopathology