Fecal Incontinence Severity Index After Fistulotomy

Cavanaugh, Megan E.; Hyman, Neil; Osler, Turner M.

doi:10.1007/s10350-004-6181-5

Cited by 108 publications

(70 citation statements)

References 7 publications

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“…The median number of patients contributed by each participating surgeon was 8 (mean, 9.8; range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20], and median number of patients contributed by practice was 14 (mean, 20.4; range, 1-62). The median patient age was 46 years (mean, 61.7; range, 18 -85 years), including 162 males and 83 females.…”

Section: Resultsmentioning

confidence: 99%

Outcomes After Fistulotomy: Results of a Prospective, Multicenter Regional Study

Hyman

O’Brien

Osler

2009

Diseases of the Colon &Amp; Rectum

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Section: Resultsmentioning

confidence: 99%

Outcomes After Fistulotomy: Results of a Prospective, Multicenter Regional Study

Hyman

O’Brien

Osler

2009

Diseases of the Colon &Amp; Rectum

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“…It has therefore been argued that different questions need to be asked in anal disease, 21 Faecal incontinence is known to have a detrimental impact on QOL, 22 and it has been suggested that QOL following fistula surgery strongly correlates with reduced faecal continence. 19,23,24 QOL with recurrent disease needs to be balanced against the QOL associated with reduced continence. The Fecal Incontinence Severity Index (FISI) was devised, 25 validated, 23 and then used to predict QOL following fistula surgery, 24 which indicated that QOL is strongly correlated with FISI scores.…”

Section: Discussionmentioning

confidence: 99%

“…19,23,24 QOL with recurrent disease needs to be balanced against the QOL associated with reduced continence. The Fecal Incontinence Severity Index (FISI) was devised, 25 validated, 23 and then used to predict QOL following fistula surgery, 24 which indicated that QOL is strongly correlated with FISI scores. In our study, no overall correlation was found between continence score and QOL; however, urgency was found to have a significant impact on QOL.…”

Section: Discussionmentioning

confidence: 99%

Quality of life with anal fistula

Owen

Buchanan

Schizas

et al. 2016

annals

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INTRODUCTION Anal fistula affects people of working age. Symptoms include abscess, pain, discharge of pus and blood. Treatment of this benign disease can affect faecal continence, which may, in turn, impair quality of life (QOL). We assessed the QOL of patients with cryptoglandular anal fistula. METHODS Newly referred patients with anal fistula completed the St Mark's Incontinence Score, which ranges from 0 (perfect continence) to 24 (totally incontinent), and Short form 36 (SF-36) questionnaire at two institutions with an interest in anal fistula. The data were examined to identify factors affecting QOL. RESULTS Data were available for 146 patients (47 women), with a median age of 44 years (range 18-82 years) and a median continence score of 0 (range 0-23). Versus population norms, patients had an overall reduction in QOL. While those with recurrent disease had no difference on continence scores, QOL was worse on two of eight SF-36 domains (p<0.05). Patients with secondary extensions had reduced QOL in two domains (p<0.05), while urgency was associated with reduced QOL on five domains (p<0.05). Patients with loose seton had the same QOL as those without seton. No difference in urgency was found between patients with and without loose seton. In primary fistula patients, 19.4% of patients experienced urgency versus 36.3% of those with recurrent fistulas. CONCLUSIONS Patients with anal fistula had a reduced QOL, which was worse in those with recurrent disease, secondary extensions and urgency. Loose seton had no impact on QOL.

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“…Various techniques have been described including fistulotomy [1][2][3][4], fistulectomy [5] and advancement flap procedures [6][7][8][9][10][11]. The results of fibrin glue treatment have been disappointing and the technique has largely been abandoned [12].…”

Section: Introductionmentioning

confidence: 99%

Incontinence rates after cutting seton treatment for anal fistula

2009

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Objective To determine the incidence of anal incontinence after the use of cutting seton treatment for anal fistula.Method Literature searches were performed on PubMed, MEDLINE and Google Ô Scholar using the words 'cutting seton(s)', 'seton(s)' and 'anal fistula'. An analysis of the data in the collected references was performed.Results The average rate of incontinence following cutting seton use was 12%. The rate of incontinence increased as the location of the internal opening of the fistula moved more proximally. In the studies that described the types of incontinence, liquid stool was the most common followed closely by flatus incontinence. Incontinence associated with the treatment of fistulas defined as nonspecific cryptoglandular in nature was 18%.Conclusion The high incontinence rates that result from the use of cutting setons suggest that this commonly used therapy can damage the continence musculature. Other techniques that do not involve cutting the sphincter, when available, should be preferred, especially for higher fistulas.

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Fecal Incontinence Severity Index After Fistulotomy

Abstract: The Fecal Incontinence Severity Index is an excellent tool to gauge quality of life after fistulotomy. Fecal Incontinence Severity Index scores >30 predict a detrimental effect on quality of life.

Cited by 108 publications

References 7 publications

Outcomes After Fistulotomy: Results of a Prospective, Multicenter Regional Study

Outcomes After Fistulotomy: Results of a Prospective, Multicenter Regional Study

Quality of life with anal fistula

Incontinence rates after cutting seton treatment for anal fistula

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