Anterior overlapping sphincteroplasty – who benefits from the surgery?

• Authors: Michał Mik , Kinga Rośniak , Piotr Narbutt , Łukasz Dziki , Marcin Tchórzewski , Radzisław Trzciński , Adam Dziki
• Languages of publication: EN

Abstracts

EN

The aim of the study was to identify clinical factors which could influence the results of overlapping sphincteroplasty. Material and methods. Between 2003-2009 the group of 78 incontinent patients (59 women, mean age of 61±13 years), was operated on with anterior overlapping anal sphincteroplasty. Only patients with severe incontinence (>16 pts in Wexner scale) were included. Before surgery and in follow-up period anorectal ultrasound, manometry and incontinence assessment were performed and in follow-up period patients additionally fulfilled survey. The study was prospective. Follow up period was more than 36 months. Results. In survey the excellent results related to 52 patients (66.7%), good in 15 (19.2%) and poor in 11 (14.1%). The squeeze pressure improved more significantly in men 33±11 cm H2O vs. 22±14 cm H2O; p=0.039. In patients <50 year squeeze pressure was significantly larger 32±10 cm H2O vs. 25±12 cm H2O; p=0.045. If the width of a defect within sphincter was less than 60°飀 the improvement in squeeze pressure was higher 33±9 cm H2O vs. 22±15 cm H2O; p=0.031. In Wexner scale male patients better responded to surgery than females 6.94±1.8 vs. 5.12±2.2, p=0.048; as well as patients with smaller scar <60° 6.51±1.4 vs. 4.28±2.3; p=0.042. Conclusions. To succeed in sphincteroplasty the proper qualification to the procedure should be crucial. Clinical assessment prior to surgery with the use of all available non-surgical methods in patients suffer from severe symptoms can help to select optimal group who will benefit from surgery. Male patients may have to obtain better outcome and patients with smaller sphincter defect could likely have also better results from surgery.

Keywords

EN

faecal incontinence; sphincteroplasty; results; function; sphincter defect

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 1
• Pages: 33-38

Dates

published

1 - 01 - 2014

online

27 - 02 - 2014

Contributors

author

Michał Mik

• Department of General and Colorectal Surgery, Medical University in Łódź

author

Kinga Rośniak

• Department of General and Colorectal Surgery, Medical University in Łódź

author

Piotr Narbutt

• Department of General and Colorectal Surgery, Medical University in Łódź

author

Łukasz Dziki

• Department of General and Colorectal Surgery, Medical University in Łódź

author

Marcin Tchórzewski

• Department of General and Colorectal Surgery, Medical University in Łódź

author

Radzisław Trzciński

• Department of General and Colorectal Surgery, Medical University in Łódź

author

Adam Dziki

• Department of General and Colorectal Surgery, Medical University in Łódź

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Identifiers

DOI

10.2478/pjs-2014-0006