Objective To examine if the outcome of sphincter repair is compromised if done in combination with a major urogynecologic procedure. Fecal incontinence combined with urogynecologic disorders is commonly seen in women. Methods Twenty women who had undergone overlapping sphincter repair combined with a major urogynecologic procedure for urinary incontinence or anterior pelvic organ prolapse were identified from a database, and matched with 20 women from the database who had undergone overlapping sphincter repair alone during the same time period. Preoperative and postoperative data were prospectively collected. Results Women undergoing combination surgery were significantly older than were those having sphincter repair alone (median age, 60 years vs 38 years;P = 0.001) and had a significantly greater median number of daily bowel movements (3 vs 1;P = 0.03). The two groups were similarly matched in all other variables examined. When comparing fecal incontinence scores, both groups showed significant improvement, and there was no difference in improvement in the combination group compared with the sphincter-repair-alone group. Conclusion Sphincteroplasty combined with anterior pelvic floor surgery has similar results and complication rates when compared with sphincter repair alone. Combination surgery should be offered to appropriate patients.
|Original language||English (US)|
|Number of pages||4|
|Journal||Journal of Pelvic Surgery|
|State||Published - Jan 1 2001|
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