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Dis Colon Rectum. 1995 Jan;38(1):14-8.

Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence.

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1
University Department of Surgery, Queen Elizabeth Hospital, Birmingham, United Kingdom.

Abstract

PURPOSE:

This study was designed to examine the role of adjuvant internal anal sphincter plication in women with neuropathic fecal incontinence undergoing pelvic floor repair.

METHODS:

We completed a randomized trial with symptomatic and physiologic assessment before and after surgery.

RESULTS:

There was no symptomatic advantage of adding internal sphincter plication; the mean improvement of functional score was 3.61 +/- 1.82 (standard deviation; P < 0.01) following pelvic floor repair alone compared with 2.80 +/- 1.66 (standard deviation; P < 0.01) when adjuvant internal and sphincter plication was added. The addition of internal sphincter plication was associated with a significant fall in maximum anal resting and squeezing pressures (P < 0.01).

CONCLUSIONS:

Addition of internal sphincter plication is not advised in women with neuropathic fecal incontinence treated by pelvic floor repair.

PMID:
7813338
[Indexed for MEDLINE]
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