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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
|
pubmed:dateCreated |
1994-12-2
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pubmed:abstractText |
Anterior sphincter repair for faecal incontinence related to obstetric trauma was performed in 55 patients: 32 with incontinence after delivery and 23 with late onset. Anal endosonography and physiological tests were performed before and after surgery. After a median of 15 (range 6-36) months, 42 patients had improved, 11 had not improved and two were awaiting colostomy closure. The postoperative squeeze pressure was increased (by 20 versus 5 cmH2O, P = 0.05) and the external sphincter was more frequently intact (32 of 35 versus five of 11, P = 0.003) in those with a good outcome. Patients with an intact external sphincter had higher postoperative squeeze pressures (50 versus 20 cmH2O, P = 0.004). Patients with late-onset incontinence were older than those who developed incontinence soon after delivery (median 59 versus 32 years, P < 0.001) and had longer pudendal nerve terminal motor latencies (2.3 versus 2.1 ms, P = 0.03). Failure of repair is related to persistent external sphincter defects. Late-onset incontinence, even with a prolonged pudendal nerve terminal motor latency, does not preclude a good outcome.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0007-1323
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
81
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1231-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7953372-Adult,
pubmed-meshheading:7953372-Aged,
pubmed-meshheading:7953372-Anal Canal,
pubmed-meshheading:7953372-Fecal Incontinence,
pubmed-meshheading:7953372-Female,
pubmed-meshheading:7953372-Humans,
pubmed-meshheading:7953372-Manometry,
pubmed-meshheading:7953372-Middle Aged,
pubmed-meshheading:7953372-Obstetric Labor Complications,
pubmed-meshheading:7953372-Pregnancy,
pubmed-meshheading:7953372-Rectum,
pubmed-meshheading:7953372-Time Factors
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pubmed:year |
1994
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pubmed:articleTitle |
Anterior anal sphincter repair in patients with obstetric trauma.
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pubmed:affiliation |
St Mark's Hospital, London, UK.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|