干旱区生态环境知识资源中心(Arid): Secondary sphincter repair for anal incontinence following obstetric sphincter injury: functional outcome and quality of life at 18 years of follow-up

Arid

DOI	10.1111/codi.14792
	Secondary sphincter repair for anal incontinence following obstetric sphincter injury: functional outcome and quality of life at 18 years of follow-up
	Barbosa, M.1; Glavind-Kristensen, M.2; Soerensen, M. Moller 1; Christensen, P.1
通讯作者	Barbosa, M.
来源期刊	COLORECTAL DISEASE
ISSN	1462-8910
EISSN	1463-1318
出版年	2020
卷号	22 期号:1 页码:71-79
英文摘要	Aim Secondary sphincter repair has been the conventional management of anal incontinence (AI) when a structural defect in the sphincter is recognized. However, disappointing long-term results have contributed to a tendency towards an increasing use of alternative treatment methods. This study aimed to assess the long-term functional outcomes following a secondary sphincter repair in women with AI after obstetric sphincter injury. Method This is a questionnaire study of women who underwent a secondary sphincter repair in Denmark between January 1990 and December 2005. Patients were identified through the Danish National Patient Registry. Functional outcomes were assessed by a self-administered questionnaire in 2010 and 2018. Primary outcomes were Wexner and St. Mark's scores. Impact on quality of life was assessed using the Fecal Incontinence Quality of Life Scale. Results Functional outcome was assessed in 370 women in 2010 and 255 women in 2018. At 18.3 [interquartile range (IQR 15.0-22.0)] years of follow-up, the mean +/- SD Wexner score was 8.8 +/- 4.8 and the mean St. Mark's score was 11.7 +/- 5.0. Flatus incontinence was the most frequent symptom, reported by 97%. Incontinence for liquid and solid stools was reported by 75% and 54%, respectively. There were no significant changes in incontinence frequencies over time. Women with a Wexner score of >= 9 had a significantly lower quality of life score in all domains than did women with a Wexner score of < 9 (P < 0.001). Conclusion At long-term follow-up, few patients are fully continent following a secondary sphincter repair. However, it appears that the functional results remain stable at very long-term follow-up.
英文关键词	OASIS obstetric sphincter injury secondary sphincter repair sphincteroplasty anal incontinence functional outcomes
类型	Article
语种	英语
国家	Denmark
收录类别	SCI-E
WOS记录号	WOS:000489206600001
WOS关键词	FECAL INCONTINENCE ; ANTERIOR SPHINCTEROPLASTY ; SACRAL NEUROMODULATION ; VAGINAL DELIVERY ; RISK-FACTORS ; MANAGEMENT ; SUCCESS ; WOMEN
WOS类目	Gastroenterology & Hepatology ; Surgery
WOS研究方向	Gastroenterology & Hepatology ; Surgery
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/214938
作者单位	1.Aarhus Univ Hosp, Dept Surg, Pelv Floor Unit, Palle Juul Jensens Blvd 99, DK-8200 Aarhus N, Denmark; 2.Aarhus Univ Hosp, Dept Obstet & Gynecol, Pelv Floor Unit, Aarhus N, Denmark
推荐引用方式 GB/T 7714	Barbosa, M.,Glavind-Kristensen, M.,Soerensen, M. Moller,et al. Secondary sphincter repair for anal incontinence following obstetric sphincter injury: functional outcome and quality of life at 18 years of follow-up[J],2020,22(1):71-79.
APA	Barbosa, M.,Glavind-Kristensen, M.,Soerensen, M. Moller,&Christensen, P..(2020).Secondary sphincter repair for anal incontinence following obstetric sphincter injury: functional outcome and quality of life at 18 years of follow-up.COLORECTAL DISEASE,22(1),71-79.
MLA	Barbosa, M.,et al."Secondary sphincter repair for anal incontinence following obstetric sphincter injury: functional outcome and quality of life at 18 years of follow-up".COLORECTAL DISEASE 22.1(2020):71-79.