Total pelvic floor repair for the treatment of neuropathic fecal incontinence

Pinho, Mauro; Ortíz, Jorge; Oya, M.; Panagamuwa, Bandaranayke; Asperer, Johnathan; Keighley, M. R. B.

doi:10.1016/0002-9610(92)90018-m

Cited by 53 publications

(23 citation statements)

References 7 publications

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“…6 Other forms of "repair" like the postanal repair and total pelvic repair give high initial success rates; however, long-term results are disappointing. [6][7][8] Neosphincters, such as the gluteoplasty, graciloplasty, and artificial bowel sphincter, are accepted alternatives with success rates of respectively 60, 56 to 100, and 77 to 88 percent. 6,9 Neosphincter procedures are invasive, technically demanding, require a considerable learning curve, and are associated with morbidity.…”

mentioning

confidence: 99%

Sacral Neuromodulation in Patients With Fecal Incontinence: A Single-Center Study

Uludag¹,

Koch²,

Gemert³

et al. 2004

Diseases of the Colon &Amp; Rectum

113

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mentioning

confidence: 99%

Sacral Neuromodulation in Patients With Fecal Incontinence: A Single-Center Study

Uludag¹,

Koch²,

Gemert³

et al. 2004

Diseases of the Colon &Amp; Rectum

113

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“…Thus, we have explored the role of total pelvic floor repair (TPFR), which is a combi nation of post-anal repair (PAR) and anterior levatorplas ty (AL) in a non-randomized study. TPFR appeared to give promising early results [8]. The present report de scribes the clinical and physiological results of a random ized trial comparing PAR, AL [9] and TPFR for postobstetric neuropathic faecal incontinence.…”

Section: Introductionmentioning

confidence: 82%

A Video Proctographic Assessment of the Changes in Pelvic Floor Function following Three Forms of Repair for Post-Obstetric Neuropathic Faecal Incontinence

Oya¹,

Ortíz²,

Grant³

et al. 1994

Dig Surg

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A prospective randomized trial compared post-anal repair (n = 12), anterior levatorplasty (n = 12) and total pelvic floor repair (TPFR) (n = 12) for women with post-obstetric neuropathic faecal incontinence. Anal manometry and videoproctography were performed before and after operation. At 24 months, the quality of continence after TPFR was significantly better than for the other procedures tested. Anal sphincter pressures were not influenced by any of the operations. Only TPFR lengthened the anal canal, raised the pelvic floor and improved pelvic floor movements. These data suggest that TPFR is the best form of operation on the levator ani for women with neuropathic faecal incontinence.

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“…116 Total pelvic floor repair fared slightly better for neuropathic fecal incontinence with 55 percent of patients continent to solid and liquid stools 15 months after the procedure. 117 8. Dynamic graciloplasty may have a role in the treatment of severe fecal incontinence when there is irreparable sphincter disruption.…”

Section: Surgical Optionsmentioning

confidence: 99%