Journal article

Long-term results of repeat anterior anal sphincter repair

CJ Vaizey, C Norton, MJ Thornton, RJ Nicholls, MA Kamm

DISEASES OF THE COLON & RECTUM | LIPPINCOTT WILLIAMS & WILKINS | Published : 2004

Abstract

PURPOSE: Anterior anal sphincter repair for obstetric trauma sometimes fails because of breakdown of the repair. The long-term results of repeating the overlapping repair are not known. METHODS: Twenty-three patients with repeat obstetric-related anterior sphincter repair had previously been assessed at a median of 20 months follow-up, at which time 13 patients (65 percent) felt 50 percent or greater improvement compared with their preoperative symptoms. Patients were reassessed at a median of 5 years (range, 48-86 months) using a questionnaire, an incontinence score, and telephone interview to determine current bowel function, continence, and restriction in activities of daily life and over..

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