Combined vertical reduction rectoplasty and sacral nerve stimulation for rectal evacuatory dysfunction and faecal incontinence associated with previous anorectal malformation.
Functional outcomes following surgery for anorectal malformation are variable, with many children experiencing persisting anorectal dysfunction. We describe a 34-year-old female with previous vestibular fistula who experienced lifelong rectal evacuatory dysfunction and faecal incontinence; she was treated in a two stage process producing efficient defecation and almost total continence.
Boyle
D J
DJ
The Royal London Hospital, Barts and The London NHS Trust, Whitechapel, London, England, E1 1BB, UK. d.boyle@qmul.ac.uk
Gill
K A
KA
Ward
H C
HC
Scott
S M
SM
Lunniss
P J
PJ
Williams
N S
NS
D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery; D002675:Child, Preschool; D003672:Defecation / Q000502:physiology; D004599:Electric Stimulation Therapy; D005242:Fecal Incontinence / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008160:Lumbosacral Plexus; D012007:Rectum / Q000002:abnormalities* / Q000601:surgery