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Sphincter Repair and Postanal Repair

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Pelvic Floor Disorders

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Abstract

Anorectal continence is determined by numerous factors, including the function of internal and external anal sphincters, anal sensation, anorectal angle, stool consistency, and rectal compliance. Disturbances in one or several of these factors may cause fecal incontinence; hence treatment options vary based on the etiology and severity. Common causes include obstetric trauma, prior anorectal surgery, and altered bowel habits. Prior to initiating treatment, candidates for anal sphincter repair should obtain a full diagnostic workup. If a distinct defect is identified, sphincter repair is one treatment option and is usually performed with an overlapping technique. Overlapping sphincteroplasty remains a viable surgical treatment option for isolated, preferably anterior, sphincter defects.

Postanal repair has been tried in cases of idiopathic fecal incontinence without anatomical defect, but the success rate is limited.

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Author information

Authors and Affiliations

  1. Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, IL, USA

    Adam Studniarek, Johan Nordenstam & Anders Mellgren

Authors
  1. Adam Studniarek
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  2. Johan Nordenstam
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  3. Anders Mellgren
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Corresponding author

Correspondence to Anders Mellgren .

Editor information

Editors and Affiliations

  1. Tertiary Referral Pelvic Floor and Incontinence Center, IV°Division of General Surgery, Regional Hospital, Treviso, University of Padua, Padua, Italy

    Giulio A. Santoro

  2. Department of Pediatric Radiology, Medical University of Lublin, Children’s University Hospital, Lublin, Poland

    Andrzej P. Wieczorek

  3. Urogynaecology and Pelvic Floor, Reconstruction Unit, Croydon University Hospital, St George’s University of London, London, UK

    Abdul H. Sultan

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Sphincter repair and postanal repair (MOV 1132611 kb)

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Studniarek, A., Nordenstam, J., Mellgren, A. (2021). Sphincter Repair and Postanal Repair. In: Santoro, G.A., Wieczorek, A.P., Sultan, A.H. (eds) Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-40862-6_37

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  • DOI: https://doi.org/10.1007/978-3-030-40862-6_37

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  • Online ISBN: 978-3-030-40862-6

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