Search results for "External anal sphincter"

showing 2 items of 2 documents

Sphincter damage during fistulotomy for perianal fistulae and its relationship with faecal incontinence.

2021

Abstract Background The length of sphincter which can be divided during fistulotomy for perianal fistula is unclear. The aim was to quantify sphincter damage during fistulotomy and determine the relationship between such damage with symptoms and severity of faecal incontinence and long-term quality of life (QOL). Methods A prospective cohort study was performed over a 2-year period. Patients with intersphincteric and mid to low transsphincteric perianal fistulas without risk factors for faecal incontinence were scheduled for fistulotomy. All patients underwent 3D endoanal ultrasound (3D-EAUS) pre-operatively and 8 weeks postoperatively. Measurements were taken of pre- and postoperative anal…

medicine.medical_specialtyFistulaExternal anal sphincterAnusFistulaAnal CanalFistulotomyFistulotomyInternal anal sphincterAnal ultrasoundEndoanal ultrasoundPerianal fistulaeMedicineHumansRectal FistulaProspective StudiesProspective cohort studyIncontinenceCirurgiabusiness.industrydigestive oral and skin physiologyFaecal incontinencemedicine.diseaseSurgerymedicine.anatomical_structureMalaltiesQuality of LifeSphincterSurgeryOriginal ArticlebusinessFecal IncontinenceAbdominal surgeryLangenbeck's archives of surgery
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Chronic sacral spinal nerve stimulation for fecal incontinence: long-term results with foramen and cuff electrodes.

2002

PURPOSE: Sacral spinal nerve stimulation is a new therapeutic approach for patients with severe fecal incontinence owing to functional deficits of the external anal sphincter. It aims to use the morphologically intact anatomy to recruit residual function. This study evaluates the long-term results of the first patients treated with this novel approach applying two techniques of sacral spinal nerve stimulator implantation. METHODS: Six patients underwent either of two techniques for electrode placement: one “closed” (electrodes placed through the sacral foramen) and one “open” (cuff electrodes placed after sacral laminectomy). Follow-up evaluation of their continence status ranged from 5 to …

AdultMalemedicine.medical_specialtyTime FactorsExternal anal sphincterManometrymedicine.medical_treatmentLumbosacral PlexusAnal CanalElectric Stimulation TherapyForamenMedicineFecal incontinenceHumansbusiness.industryGastroenterologyLaminectomyLaminectomyGeneral MedicineMiddle AgedColorectal surgerySurgeryElectrodes ImplantedTreatment OutcomeSpinal nerveCuffChronic DiseaseFeasibility StudiesIntractable painFemalemedicine.symptombusinessFecal IncontinenceFollow-Up StudiesDiseases of the colon and rectum
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