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Am J Obstet Gynecol. 2006 Dec;195(6):1753-7.

Sexual function, quality of life, and severity of anal incontinence after anal sphincteroplasty.

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1
Department of Obstetrics and Gynecology, Division of Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.

Abstract

OBJECTIVE:

The purpose of this study was to determine the severity of anal incontinence and its impact on quality of life and sexual function in women after anal sphincteroplasty.

STUDY DESIGN:

Eighty-six women who underwent anal sphincteroplasty during the years 1993 to 2004 were mailed validated survey instruments to evaluate continence status, health-related quality of life, and sexual functioning. Demographic and perioperative data were obtained from patient charts.

RESULTS:

At a mean follow-up time of 5.6 +/- 3.0 years, 6 women (11%) were totally continent; 8 women (15%) were incontinent of flatus only, and 41 women (75%) were incontinent of liquid and/or solid stool. Sexual function scores were not correlated with continence scores; 24% vs 4% of subjects who had undergone an overlapping sphincteroplasty versus an end-to-end sphincteroplasty reported pain during intercourse (P = .04).

CONCLUSION:

Anal continence rates 5 years after anal sphincteroplasty are disappointing, adversely impact quality of life, yet do not appear to relate to sexual function.

PMID:
17132478
DOI:
10.1016/j.ajog.2006.07.030
[Indexed for MEDLINE]
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