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Dis Colon Rectum. 1994 Dec;37(12):1194-7.

Continence disorders after anal fistulotomy.

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  • 1Department of Surgery, University Hospital Nijmegen, The Netherlands.

Abstract

PURPOSE:

This study was designed to detect factors that predict the occurrence of continence disorders after anal fistulotomy.

METHODS:

A retrospective study of the charts of 312 patients was undertaken. A questionnaire was sent to all patients, with a response rate of 90 percent.

RESULTS:

Minor continence disorders occurred in 73 patients, incontinence did not occur. Multivariate analysis (chi-squared test) was performed showing that extensions (P = 0.008), location (P = 0.03), and level (P = 0.029) of the anal opening appeared to be independent factors.

CONCLUSION:

Patients with high openings, posterior openings, or fistula extensions are at risk to develop continence disorders after anal fistulotomy.

PMID:
7995143
[PubMed - indexed for MEDLINE]
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