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Diseases of the Colon & Rectum

, Volume 42, Issue 2, pp 193–195 | Cite as

Anal sphincter repair in patients with obstetric trauma

Age affects outcome
  • Ole Ø. Rasmussen
  • Lise Puggaard
  • John Christiansen
Original Contributions

Abstract

PURPOSE: This study was designed to determine whether advancing age affects the outcome of anal sphincter repair in patients with obstetric trauma and fecal incontinence. METHODS: Anal sphincter repair was performed on 24 patients younger than 40 (median age, 30) years and on 14 patients older than 40 (median age, 57) years. All patients had previous obstetric trauma. RESULTS: Twenty patients younger than 40 years (83 percent; 95 percent confidence interval, 63–95 percent) became continent, or incontinent to flatus only, after anal sphincter repair, whereas four patients had unchanged incontinence. Among patients older than 40 years, six patients (43 percent; 95 percent confidence interval, 18–71 percent) became continent, whereas eight patients remained incontinent (40 percent difference in functional outcome between younger and older patients; 95 percent confidence interval, 10–70 percent). CONCLUSION: Older females have a poorer outcome of anal sphincter repair for obstetric trauma compared with younger females.

Key words

Fecal incontinence Obstetric trauma Anal sphincter repair Anal manometry 

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Copyright information

© The American Society of Colon and Rectal Surgeons 1999

Authors and Affiliations

  • Ole Ø. Rasmussen
    • 1
  • Lise Puggaard
    • 1
  • John Christiansen
    • 1
  1. 1.From the Department of Surgery D, Herlev HospitalUniversity of CopenhagenHerlevDenmark

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