Evidence Table 30Surgical case series for gluteoplasty

Study detailsPatientsInterventionsOutcome measuresEffect sizeComments
Madoff et al, 1999227

Study design:
Case series

Evidence level: 3

Duration of follow-up:
Median 24 months
Patient group: Multi centre report of patients with faecal incontinence that underwent gluteoplasty.

Cause of FI: acquired, congenital or surgical

All patients
N: 11 N with FI: 11
Age (mean): NR
M/F: NR
Dropouts: 0
Intervention:
Dynamic Gluteoplasty – gluteus wraps were anchored by suturing to the contralateral muscle.
Successful continence outcome: (success defined as 70% reduction in incontinence incidents to solid stools compared to baseline. Or if no baseline data then successful if had complete control of solid stools).All patients (n=11) had successful outcome at some point during the follow-up period, but only 5/11 (45%) were able to maintain that level of success.Funding: NR

Limitations:
Device complications reported but not stated whether these occurred in patients having gluteoplasty or graciloplasty.

Notes:
Patients results following graciloplasty also reported in this case series and reported separately in this review.

Included in systematic review Chapman 200255
ComplicationsMajor wound complications (n=4), Minor wound complications (n=2), pain (n=3), miscellaneous complications (n=2)

From: APPENDIX D, EVIDENCE TABLES

Cover of Faecal Incontinence
Faecal Incontinence: The Management of Faecal Incontinence in Adults.
NICE Clinical Guidelines, No. 49.
National Collaborating Centre for Acute Care (UK).
Copyright © 2007, National Collaborating Centre for Acute Care.

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