Abstract
Outcomes of Anal Sphincter Injury Repair; Minia University Hospital Experience Prospective Study
Highlights
Fecal incontinence (FI) is defined as involuntary loss of flatus, liquid stool or solid stool[1]
Obstetric trauma was the main cause of injury (40%), followed by road traffic accidents (33.3%) and the iatrogenic cause represents (26.7%) of the cases
Superficial anal and rectovaginal fistula had occurred in three patients, perineal pain occurred in two patients and feacal impaction occurred in only one patient
Summary
Fecal incontinence (FI) is defined as involuntary loss of flatus, liquid stool or solid stool[1]. FI can result from anal sphincter defects which can involve the external anal sphincter (EAS); the internal anal sphincter (IAS), or both muscles[3]. The etiology of these defects may be surgical, traumatic or obstetric causes[4]. Obstetric trauma is the most common cause of sphincteric lesions due to many factors such as use of forceps; breech presentation and episiotomy which results in neuropathic and mechanical injury to the pelvic floor[5,6]. There is no standard surgical procedure for FI. Overlapping anal sphincter repair is the commonest surgical procedure[8]. Anterior levatorplasty could be added to improve sphincter pressure of the anal canal by scar tissue formation and leads to symptomatic improvement[7]
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