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. 2017 Jan 7;23(1):11–24. doi: 10.3748/wjg.v23.i1.11

Table 6.

Overview of various surgical options with respective outcomes (as detailed in the text)

Interventions category Specific technique Efficacy rate (complete/> 50% improvement) Complication rates Grade
Correction of morphological abnormalities Depending on underlying condition: N/A N/A N/A
Prolapse, cloaca, keyhole deformity, perirectal fistula, rectovaginal fistula, tumor
Sphincter repair Overlapping sphincteroplasty 75%-85% (short term) N/A
0-50% (after 5-10 yr)
Enhancement of sphincter function Sacral nerve stimulation 0%-56%/51-100% lead displacement (15%), diarrhea (6%), pain (6-28%), bleeding 11%, infection (3%) 1B
Tibial nerve simulation 0%-12% (-40%)/0%-67% 59% (infection, mild gastrodynia, temporary leg numbness) 2C
Radiofrequency energy administration 0%/12%-38% (-84%) 0%-52% (pain, bleeding, infection) 2B
Injection of: 0%/33%-90% 10%-12% (pain, bleeding, infection) 2A
conventional bulking agents 6%/56%-61%
NASHA/DX
Sphincter replacement Artificial bowel sphincter 61%-90%/31%-100% 5%-10% infection rates, 30%-52% long-term failure 9 1B
Implantation of magnetic ring (Fenix™) NA/54% 0%-7% obstruction, infection, erosion 1C
Graciloplasty (dynamic/non-dynamic) NA/72% > 40% including urinary tract infection/retention, infections 76 2C
Implantation of Thiersch N/A N/A N/A
Pelvic floor repairs/sling 19%/69.1% 17%-30% (pain, infection) 2C
Fecal diversion Ileostomy, loop colostomy, end colostomy near 100% FI improvement 5%-10% stoma outlet obstruction, stricture, prolapse, hernia 1C
Fecal load reduction Malone antegrade continence enema (0%)/33%-100% FI continence 8%-50% stoma stenosis, leakage 2C