Outcomes of surgical treatment in women with anal incontinence secondary to trauma of delivery
Journal Title: Dicle Tıp Dergisi - Year 2011, Vol 38, Issue 4
Abstract
Objectives: Anal incontinence is the involuntary loss of flatus and feces and often occurs, as a reason of trauma due to the vaginal delivery in women. In this study, we aimed to evaluate the results of the patients, who underwent surgery, with anal incontinence due to the vaginal delivery. Materials and methods: Between January 2005 and December 2010, 15 patients, who had anal incontinence due to the vaginal delivery and underwent overlapping sphincteroplasty, were analyzed retrospectively. Results: The mean age was 34.7 (range 18-49) years. Sphincter injuries were grade 4 in all patients. The time for the surgery after the formation of vaginal tear varies between the first day after injury and 17 years. Wound infection developed in 2 of the patients. Anal incontinence was revealed in 4 patients in the postoperative period, 3 of them had incontinence of the flatus and 1 of them had flatal and fecal incontinence. Total continence was achieved in 11 patients. Conclusion: The sphincter injuries due to the vaginal delivery traumas can be easily defined with a detailed physical examination and careful questioning of the medical history. Satisfactory results can be achieved with the surgical treatment.
Authors and Affiliations
Akın Önder, Zülfü Arıkanoğlu, Murat Kapan, Fatih Taşkesen, Abdullah Böyük, Celalettin Keleş
Keywords
Related Articles
- EP ID EP140084
- DOI -
- Views 105
- Downloads 0
A rare case of leiomyoma: Retroperitoneal leiomyoma
Primary retroperitoneal leiomyoma is a rare and unusual differential diagnosis in the gynecological practice. The pathogenesis of retroperitoneal leiomyoma remains obscure. A 49-year-old nulligravida woman admitted to ou...
Evaluation of 14 patients performed radiotherapy due to Kaposi sarcoma
Objective: In our study, we evaluated the clinical characteristics and outcomes of treatment in patients with Kaposi's sarcoma (KS). Methods: The patients undergoing radiotherapy (RT) because of the KS between the years...
Acı Elma Yağının Yanlış Kullanımına Bağlı Dört Zehirlenme Vakası
İnfantil kolik, 4 aylıktan küçük bebeklerde sık görülen, ailelerin acile sık başvurduğu ve etyolojisi net bilinmeyen ağlama krizleridir. Farmakolojik ve ilaç dışı pek çok tedavinin denendiği infantil kolikte aileler u...
Malign Plevral Mezotelyoma prognozunda yeni bir inflamatuar parametrenin değeri
Amaç: Malign Plevral Mezotelyoma (MPM) genel olarak asbest teması ile ilişkili ve kötü prognozlu bir tümördür. MPM hastalarında prognostik bir parametre olabilecek olan Modifiye Glasgow Prognoz Skoru (GPS), a...
Mide kanserinde CYFRA 21-1, CEA, CA 19-9 ve CA 72-4 düzeylerinin karşılaştırılması
Amaç: Mide kanseri dördüncü en sık görülen kanser olup, dünyada kanser ölümlerinin ikinci en sık nedenidir. Bu çalışmada mide kanserinin tanı ve takibinde tümör markırları olan CYFRA 21-1, CA 19-9, CEA ve CA 72-4’ün...