Objective:This study aimed to investigate the long-termoutcomes of patients who undergo redo sphincteroplasty(RS).Methods:Patients with fecal incontinence(FI)who underwent RS between November 1988 and December 2011 we...Objective:This study aimed to investigate the long-termoutcomes of patients who undergo redo sphincteroplasty(RS).Methods:Patients with fecal incontinence(FI)who underwent RS between November 1988 and December 2011 were retrospectively identified from a prospective database.A questionnaire and telephone survey assessed current Cleveland Clinic Fecal Incontinence Score(CCFFIS;best 0,worst 20)and Fecal Incontinence Quality of Life(FIQoL;best 4.1,worst 1)scale.Success was defined as no further continence surgery,no stoma and CCFFIS<9 at completion of follow-up.The Wilcoxon and Mann-Whitney U tests were used for comparing quantitative variables.Bivariate logistic regression analysis was done to identify predictive factors for success.Results:Fifty-six(66.7%)of 84 patients who underwent RS were available for evaluation at a median follow-up of 74(range:12-283)months.The mean CCFFIS decreased from 16.563.7 to 11.966.6(P<0.001)at last follow-up.Twelve patients(21.4%)underwent further continence surgery for failed sphincteroplasty,three(5.4%)of whom had a permanent stoma.Eighteen patients(32.1%)had a CCFFIS<9 at the completion of follow-up,and 16(28.6%)had long-term success.Twentyfour patients evaluated for FIQoL had a mean value of 2.6(range:1.0-4.1).Postoperative CCFFIS was correlated with FIQoL(Spearman’s correlation coefficient?0.854,P<0.001).Logistic regression analysis did not reveal any significant predictive variables for success of RS.Conclusion:Based on our criteria for success,the long-term success rate for RS over a median of 74 months is poor.展开更多
文摘Objective:This study aimed to investigate the long-termoutcomes of patients who undergo redo sphincteroplasty(RS).Methods:Patients with fecal incontinence(FI)who underwent RS between November 1988 and December 2011 were retrospectively identified from a prospective database.A questionnaire and telephone survey assessed current Cleveland Clinic Fecal Incontinence Score(CCFFIS;best 0,worst 20)and Fecal Incontinence Quality of Life(FIQoL;best 4.1,worst 1)scale.Success was defined as no further continence surgery,no stoma and CCFFIS<9 at completion of follow-up.The Wilcoxon and Mann-Whitney U tests were used for comparing quantitative variables.Bivariate logistic regression analysis was done to identify predictive factors for success.Results:Fifty-six(66.7%)of 84 patients who underwent RS were available for evaluation at a median follow-up of 74(range:12-283)months.The mean CCFFIS decreased from 16.563.7 to 11.966.6(P<0.001)at last follow-up.Twelve patients(21.4%)underwent further continence surgery for failed sphincteroplasty,three(5.4%)of whom had a permanent stoma.Eighteen patients(32.1%)had a CCFFIS<9 at the completion of follow-up,and 16(28.6%)had long-term success.Twentyfour patients evaluated for FIQoL had a mean value of 2.6(range:1.0-4.1).Postoperative CCFFIS was correlated with FIQoL(Spearman’s correlation coefficient?0.854,P<0.001).Logistic regression analysis did not reveal any significant predictive variables for success of RS.Conclusion:Based on our criteria for success,the long-term success rate for RS over a median of 74 months is poor.
