Outcome of sphincteroplasty combined with surgery for urinary incontinence and pelvic organ prolapse

Vera Bittner, Joel A. Simon, Josephine Fong, Roger S. Blumenthal, Kristin Newby, Marcia L. Stefanick

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: This is the first reported prospective study comparing outcome and cost in patients undergoing sphincteroplasty for anal incontinence vs. sphincteroplasty performed in combination with one or more procedures for urinary incontinence and/or pelvic organ prolapse. METHODS: We analyzed 44 patients with fecal incontinence who underwent anal sphincter repair alone (20 patients) or in combination with procedures for urinary incontinence or pelvic organ prolapse (24 patients). Information regarding risk factors for fecal incontinence, the degree of incontinence, and the extent that incontinence limited social, physical, and sexual activity was prospectively obtained from questionnaires. Clinic chart reviews and follow-up telephone interviews provided additional data. A cohort of case-matched patients who underwent only urogynecologic procedures was compared retrospectively for operative time, hospital cost, length of stay, and postoperative complications. RESULTS: There were no major complications in any group. The functional outcomes, physical, social, and sexual activity were similar in all three groups. Twenty-two of 24 patients who underwent the combined procedures were glad that they had both procedures concomitantly. CONCLUSION: Combination pelvic floor surgery provides good outcomes and is cost effective. This approach should be offered to women with concurrent problems of fecal and urinary incontinence and/or pelvic organ prolapse.

Original languageEnglish (US)
Pages (from-to)1421-1426
Number of pages6
JournalDiseases of the colon and rectum
Volume44
Issue number10
DOIs
StatePublished - Jan 1 2001

Keywords

  • Anal sphincter repair
  • Fecal incontinence
  • Pelvic organ prolapse
  • Urinary incontinence

ASJC Scopus subject areas

  • Gastroenterology

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