Outcomes of surgical treatment in women with anal incontinence secondary to trauma of delivery
Journal Title: Dicle Tıp Dergisi - Year 2011, Vol 38, Issue 4
Abstract
Objectives: Anal incontinence is the involuntary loss of flatus and feces and often occurs, as a reason of trauma due to the vaginal delivery in women. In this study, we aimed to evaluate the results of the patients, who underwent surgery, with anal incontinence due to the vaginal delivery. Materials and methods: Between January 2005 and December 2010, 15 patients, who had anal incontinence due to the vaginal delivery and underwent overlapping sphincteroplasty, were analyzed retrospectively. Results: The mean age was 34.7 (range 18-49) years. Sphincter injuries were grade 4 in all patients. The time for the surgery after the formation of vaginal tear varies between the first day after injury and 17 years. Wound infection developed in 2 of the patients. Anal incontinence was revealed in 4 patients in the postoperative period, 3 of them had incontinence of the flatus and 1 of them had flatal and fecal incontinence. Total continence was achieved in 11 patients. Conclusion: The sphincter injuries due to the vaginal delivery traumas can be easily defined with a detailed physical examination and careful questioning of the medical history. Satisfactory results can be achieved with the surgical treatment.
Authors and Affiliations
Akın Önder, Zülfü Arıkanoğlu, Murat Kapan, Fatih Taşkesen, Abdullah Böyük, Celalettin Keleş
Keywords
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