dc.contributor.author | Berg, Matilde Risopatron | |
dc.contributor.author | Gregussen, Hilde | |
dc.contributor.author | Sahlin, Ylva | |
dc.coverage.spatial | Norway | en_US |
dc.date.accessioned | 2022-11-24T14:26:02Z | |
dc.date.available | 2022-11-24T14:26:02Z | |
dc.date.created | 2020-02-12T22:10:06Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Techniques in Coloproctology. 2019, 23 (12), 1163-1172. | en_US |
dc.identifier.issn | 1123-6337 | |
dc.identifier.uri | https://hdl.handle.net/11250/3033934 | |
dc.description.abstract | Abstract Background Sphincteroplasty is one of the treatment options for anal incontinence following obstetric injury. The aim of the study was to evaluate the long-term efect of sphincteroplasty with separate suturing of the internal and the external anal sphincter on anal continence. Methods A retrospective study was conducted on women who had sphincteroplasty for treatment of anal incontinence following obstetric injury. Women operated between January 1, 2011 and December 31, 2014 at Sykehuset Innlandet Hospital Trust Hamar, were invited to answer a questionnaire and participate in a clinical examination, including endoanal sonography. Results 111 (86.7%) women participated. Median postoperative follow-up was 44.5 months, and 63.8% of the participants experienced an improvement of at least three points in the St. Mark’s incontinence score. Fecal urgency and daily fecal leakage persisted in 39.4% and 6.4% of the participants, respectively. The internal anal sphincter improvement persisted in 61.8% of the participants, and there was a median reduction of their St. Mark’s score of 6.0 points between the preoperative value and the value at long-term follow-up. There was no signifcant change in the St. Mark’s score of patients with persistent dehiscence of the internal anal sphincter. Conclusions Sphincteroplasty, with separate suturing of the internal sphincter resulted in continence for stool maintained for at least 3 years in the majority of the patients, while there was an improvement in continence in nearly two-thirds. Keywords Anal incontinence · Obstetric anal sphincter injury · Sphincter repair | en_US |
dc.description.sponsorship | All fnancial support of this study has been granted by Innlandet Hospital Trust. The funder was not involved in the study design,
the data collection, data analysis, data interpretation or in the writing
of the report. The corresponding author had full access to all the data
and the fnal decision to submit the study for publication. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Springer Verlag | en_US |
dc.relation.uri | https://link.springer.com/article/10.1007%2Fs10151-019-02122-7 | |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.subject | Anal incontinence; | en_US |
dc.subject | Obstetric anal sphincter injury; | en_US |
dc.subject | Sphincter repair | en_US |
dc.title | Long-term outcome of sphincteroplasty with separate suturing of the internal and the external anal sphincter | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © The Author(s) 2019
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativeco
mmons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the
Creative Commons license, and indicate if changes were made. | en_US |
dc.source.pagenumber | 1163-1172 | en_US |
dc.source.volume | 23 | en_US |
dc.source.journal | Techniques in Coloproctology | en_US |
dc.source.issue | 12 | en_US |
dc.identifier.doi | 10.1007/s10151-019-02122-7 | |
dc.identifier.cristin | 1793699 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |