OBJECTIVE: The purpose of this study was to determine the severity of anal incontinence and its impact on quality of life and sexual function in women after anal sphincteroplasty. STUDY DESIGN: Eighty-six women who underwent anal sphincteroplasty during the years 1993 to 2004 were mailed validated survey instruments to evaluate continence status, health-related quality of life, and sexual functioning. Demographic and perioperative data were obtained from patient charts. RESULTS: At a mean follow-up time of 5.6 +/- 3.0 years, 6 women (11%) were totally continent; 8 women (15%) were incontinent of flatus only, and 41 women (75%) were incontinent of liquid and/or solid stool. Sexual function scores were not correlated with continence scores; 24% vs 4% of subjects who had undergone an overlapping sphincteroplasty versus an end-to-end sphincteroplasty reported pain during intercourse (P = .04). CONCLUSION: Anal continence rates 5 years after anal sphincteroplasty are disappointing, adversely impact quality of life, yet do not appear to relate to sexual function.
OBJECTIVE: The purpose of this study was to determine the severity of anal incontinence and its impact on quality of life and sexual function in women after anal sphincteroplasty. STUDY DESIGN: Eighty-six women who underwent anal sphincteroplasty during the years 1993 to 2004 were mailed validated survey instruments to evaluate continence status, health-related quality of life, and sexual functioning. Demographic and perioperative data were obtained from patient charts. RESULTS: At a mean follow-up time of 5.6 +/- 3.0 years, 6 women (11%) were totally continent; 8 women (15%) were incontinent of flatus only, and 41 women (75%) were incontinent of liquid and/or solid stool. Sexual function scores were not correlated with continence scores; 24% vs 4% of subjects who had undergone an overlapping sphincteroplasty versus an end-to-end sphincteroplasty reported pain during intercourse (P = .04). CONCLUSION: Anal continence rates 5 years after anal sphincteroplasty are disappointing, adversely impact quality of life, yet do not appear to relate to sexual function.
Authors: Rachel N Pauls; Rebecca G Rogers; Mitesh Parekh; Joan Pitkin; Dorothy Kammerer-Doak; Peter Sand Journal: Int Urogynecol J Date: 2014-11-13 Impact factor: 2.894
Authors: Xiao Xu; Julie S Ivy; Divya A Patel; Sejal N Patel; Dean G Smith; Scott B Ransom; Dee Fenner; John O L Delancey Journal: J Womens Health (Larchmt) Date: 2010-01 Impact factor: 2.681
Authors: Laurel R Imhoff; Jeanette S Brown; Jennifer M Creasman; Leslee L Subak; Stephen K Van den Eeden; David H Thom; Madhulika G Varma; Alison J Huang Journal: Dis Colon Rectum Date: 2012-10 Impact factor: 4.585