open access

Vol 90, No 2 (2019)
ORIGINAL PAPERS Gynecology
Published online: 2019-02-28
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Additional secure circular suture during sphincteroplasty — preliminary results on the efficacy of fecal incontinence surgery in urogynecological patients

Aneta Adamiak-Godlewska, Katarzyna Skorupska, Katarzyna Romanek-Piva, Jacek Pilat, Tomasz Rechberger
DOI: 10.5603/GP.2019.0014
·
Pubmed: 30860274
·
Ginekol Pol 2019;90(2):82-85.

open access

Vol 90, No 2 (2019)
ORIGINAL PAPERS Gynecology
Published online: 2019-02-28

Abstract

Objectives: The paper is a ten case series study presenting women with complex pelvic floor disorders involving fecal incontinence (FI) with stress urinary incontinence or pelvic organ prolapse. 

Our study aimed at ascertaining whether FI-induced sphincteroplasty with an additional secure circular suture around the external anal sphincter muscle (EAS) may improve long term success rates. 

Materials and methods: Twelve patients had scheduled urogynecological surgery and overlapping sphincteroplasty with the placement of an additional circular suture around the EAS. Of these, the status of ten women was established by way of the Cleveland Clinic Fecal Incontinence Score/Wexner Score before and about 70 months after surgery. 

Results: Statistical analysis of fecal incontinence score showed that patients were not completely cured from FI, but were significantly better (p = 0.011). 

Conclusions: A circular secure suture around the external anal sphincter in FI patients may help to improve anal sphincter function. 

Abstract

Objectives: The paper is a ten case series study presenting women with complex pelvic floor disorders involving fecal incontinence (FI) with stress urinary incontinence or pelvic organ prolapse. 

Our study aimed at ascertaining whether FI-induced sphincteroplasty with an additional secure circular suture around the external anal sphincter muscle (EAS) may improve long term success rates. 

Materials and methods: Twelve patients had scheduled urogynecological surgery and overlapping sphincteroplasty with the placement of an additional circular suture around the EAS. Of these, the status of ten women was established by way of the Cleveland Clinic Fecal Incontinence Score/Wexner Score before and about 70 months after surgery. 

Results: Statistical analysis of fecal incontinence score showed that patients were not completely cured from FI, but were significantly better (p = 0.011). 

Conclusions: A circular secure suture around the external anal sphincter in FI patients may help to improve anal sphincter function. 

Get Citation

Keywords

fecal incontinence; pelvic organ prolapse; urinary incontinence; sphincteroplasty

About this article
Title

Additional secure circular suture during sphincteroplasty — preliminary results on the efficacy of fecal incontinence surgery in urogynecological patients

Journal

Ginekologia Polska

Issue

Vol 90, No 2 (2019)

Pages

82-85

Published online

2019-02-28

DOI

10.5603/GP.2019.0014

Pubmed

30860274

Bibliographic record

Ginekol Pol 2019;90(2):82-85.

Keywords

fecal incontinence
pelvic organ prolapse
urinary incontinence
sphincteroplasty

Authors

Aneta Adamiak-Godlewska
Katarzyna Skorupska
Katarzyna Romanek-Piva
Jacek Pilat
Tomasz Rechberger

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