Anterior and posterior anal sphincter repair
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There were no predictive factors of outcome success and no changes in anal manometry identified, however anterior sphincter repair remains worthwhile.
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fails, anterior anal sphincter repair is the operation of choice . hysterectomy in 11 patients, rectopexy in 7 patients, posterior vagi- nal wall repair in 7 patients .
Mar 4, Posterior tibial nerve electro-stimulation, first reported by Shafik et al. in RECONSTRUCTION OF THE ANAL SPHINCTER Anterior anal sphincter repair for fecal incontinence: good longterm results are possible.
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Sphincteroplasty for anal incontinence | Gastroenterology Report | Oxford Academic
Description:Advanced Search Abstract Sphincteroplasty SP is the operation most frequently performed in patients suffering from moderate-to-severe anal incontinence AI who do not respond to conservative treatment. Other costly surgeries, such as artificial bowel sphincter ABS and electro-stimulated graciloplasty, have been more or less abandoned due to their high morbidity rate. Minimally invasive procedures are widely used, such as sacral neuromodulation and injection of bulking agents, but both are costly and the latter may cure only mild incontinence. The early outcome of SP is usually good if the sphincters are not markedly denervated, but its effect diminishes over time. SP is more often performed for post-traumatic than for idiopathic AI. It may also be associated to the Altemeier procedure, aimed at reducing the recurrence rate of rectal prolapse, and may be useful when AI is due either to injury to the sphincter, or to a narrowed rectum following the procedure for prolapse and haemorrhoids PPH and stapled transanal rectal resection STARR.