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Sexual function, quality of life, and severity of anal incontinence after anal sphincteroplasty
- Source :
- American Journal of Obstetrics and Gynecology. 195:1753-1757
- Publication Year :
- 2006
- Publisher :
- Elsevier BV, 2006.
-
Abstract
- Objective The purpose of this study was to determine the severity of anal incontinence and its impact on quality of life and sexual function in women after anal sphincteroplasty. Study design Eighty-six women who underwent anal sphincteroplasty during the years 1993 to 2004 were mailed validated survey instruments to evaluate continence status, health-related quality of life, and sexual functioning. Demographic and perioperative data were obtained from patient charts. Results At a mean follow-up time of 5.6 ± 3.0 years, 6 women (11%) were totally continent; 8 women (15%) were incontinent of flatus only, and 41 women (75%) were incontinent of liquid and/or solid stool. Sexual function scores were not correlated with continence scores; 24% vs 4% of subjects who had undergone an overlapping sphincteroplasty versus an end-to-end sphincteroplasty reported pain during intercourse ( P = .04). Conclusion Anal continence rates 5 years after anal sphincteroplasty are disappointing, adversely impact quality of life, yet do not appear to relate to sexual function.
- Subjects :
- Adult
medicine.medical_specialty
Anal Canal
Human sexuality
Severity of Illness Index
Anal continence
Postoperative Complications
Quality of life
Anal sphincteroplasty
medicine
Flatulence
Humans
Postoperative Period
Digestive System Surgical Procedures
Sexual functioning
Obstetrics
business.industry
Obstetrics and Gynecology
Perioperative
Middle Aged
Anus
Surgery
Dyspareunia
medicine.anatomical_structure
Quality of Life
Female
Sexual function
business
Sexuality
Fecal Incontinence
Follow-Up Studies
Subjects
Details
- ISSN :
- 00029378
- Volume :
- 195
- Database :
- OpenAIRE
- Journal :
- American Journal of Obstetrics and Gynecology
- Accession number :
- edsair.doi.dedup.....4b6a557f2b57748fd81ee59247b29ab5