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Postanal repair restores anatomy rather than function

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Diseases of the Colon & Rectum

Abstract

The effect of postanal repair on internal and external sphincter function has been assessed by comparing preoperative and postoperative manometric results in 39 patients with neurogenic fecal incontinence. Postanal repair was effective in 70 percent. The urge to defecate was restored in 70 percent, the ability to retain feces in 45 percent. The procedure caused an increase in squeeze pressure (P=.001), but clinical results were not related absolutely to improvement of external sphincter function, which remained within limits of fecal incontinence in most cases. The procedure restores anatomy rather than function. The influence of the procedure on resting pressure was not statistically significant (P=.4).

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Authors and Affiliations

  1. Department of Surgery, Academic Hospital Nijmegen, Nijmegen, The Netherlands

    Mariska Scheuer M.D., Han C. Kuijpers M.D. & Peter Paul Jacobs M.D.

Authors
  1. Mariska Scheuer M.D.
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  2. Han C. Kuijpers M.D.
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  3. Peter Paul Jacobs M.D.
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Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, Anaheim, California, June 12 to 17, 1988.

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Scheuer, M., Kuijpers, H.C. & Jacobs, P.P. Postanal repair restores anatomy rather than function. Dis Colon Rectum 32, 960–963 (1989). https://doi.org/10.1007/BF02552273

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  • DOI: https://doi.org/10.1007/BF02552273

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