Skip to main content
Journal of the Royal Society of Medicine logoLink to Journal of the Royal Society of Medicine
. 1984 Apr;77(4):285–288. doi: 10.1177/014107688407700406

Postanal repair for faecal incontinence.

M R Keighley
PMCID: PMC1439743  PMID: 6716379

Abstract

Between 1977 and 1983, 105 patients had a postanal repair for the treatment of faecal incontinence. All except 8 patients were women. The principal reasons for operation were: persistent incontinence after rectopexy (n = 25), obstetric trauma (n = 18), anal dilatation (n = 12) and pelvic floor neuropathy (n = 41). One patient died after operation. Of 89 patients followed up for at least six months after operation, 56 (63%) have complete control of faeces and flatus, but 19 have control of solid faeces only and 14 are no better. The poor results were associated with wound sepsis and previous operations particularly in men.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bartolo D. C., Read N. W., Jarratt J. A., Read M. G., Donnelly T. C., Johnson A. G. Differences in anal sphincter function and clinical presentation in patients with pelvic floor descent. Gastroenterology. 1983 Jul;85(1):68–75. [PubMed] [Google Scholar]
  2. Corman M. L. The management of anal incontinence. Surg Clin North Am. 1983 Feb;63(1):177–192. doi: 10.1016/s0039-6109(16)42938-5. [DOI] [PubMed] [Google Scholar]
  3. Henry M. M., Parks A. G., Swash M. The pelvic floor musculature in the descending perineum syndrome. Br J Surg. 1982 Aug;69(8):470–472. doi: 10.1002/bjs.1800690813. [DOI] [PubMed] [Google Scholar]
  4. Keighley M. R., Fielding J. W., Alexander-Williams J. Results of Marlex mesh abdominal rectopexy for rectal prolapse in 100 consecutive patients. Br J Surg. 1983 Apr;70(4):229–232. doi: 10.1002/bjs.1800700415. [DOI] [PubMed] [Google Scholar]
  5. Keighley M. R., Fielding J. W. Management of faecal incontinence and results of surgical treatment. Br J Surg. 1983 Aug;70(8):463–468. doi: 10.1002/bjs.1800700806. [DOI] [PubMed] [Google Scholar]
  6. Keighley M. R., Matheson D. M. Results of treatment for rectal prolapse and fecal incontinence. Dis Colon Rectum. 1981 Sep;24(6):449–453. doi: 10.1007/BF02626780. [DOI] [PubMed] [Google Scholar]
  7. Keighley M. R. Prevention and treatment of infection in colorectal surgery. World J Surg. 1982 May;6(3):312–320. doi: 10.1007/BF01653547. [DOI] [PubMed] [Google Scholar]
  8. MacLeod J. H. Biofeedback in the management of partial anal incontinence: a preliminary report. Dis Colon Rectum. 1979 Apr;22(3):169–171. doi: 10.1007/BF02586810. [DOI] [PubMed] [Google Scholar]
  9. Neill M. E., Parks A. G., Swash M. Physiological studies of the anal sphincter musculature in faecal incontinence and rectal prolapse. Br J Surg. 1981 Aug;68(8):531–536. doi: 10.1002/bjs.1800680804. [DOI] [PubMed] [Google Scholar]
  10. Parks A. G., Porter N. H., Hardcastle J. The syndrome of the descending perineum. Proc R Soc Med. 1966 Jun;59(6):477–482. doi: 10.1177/003591576605900601. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Read N. W., Bartolo D. C., Read M. G., Hall J., Haynes W. G., Johnson A. G. Differences in anorectal manometry between patients with haemorrhoids and patients with descending perineum syndrome: implications for management. Br J Surg. 1983 Nov;70(11):656–659. doi: 10.1002/bjs.1800701105. [DOI] [PubMed] [Google Scholar]
  12. Read N. W., Harford W. V., Schmulen A. C., Read M. G., Santa Ana C., Fordtran J. S. A clinical study of patients with fecal incontinence and diarrhea. Gastroenterology. 1979 Apr;76(4):747–756. [PubMed] [Google Scholar]
  13. Sullivan E. S., Corman M. L., Devroede G., Rudd W. W., Schuster M. M. Symposium: anal incontinence. Dis Colon Rectum. 1982 Mar;25(2):90–107. doi: 10.1007/BF02553245. [DOI] [PubMed] [Google Scholar]
  14. Wheatley I. C., Hardy K. J., Dent J. Anal pressure studies in spinal patients. Gut. 1977 Jun;18(6):488–490. doi: 10.1136/gut.18.6.488. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press

RESOURCES