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J R Soc Med 1984;77:285-288
© 1984 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 77, Issue 4 285-288, Copyright © 1984 by Royal Society of Medicine

ORIGINAL ARTICLES

Postanal repair for faecal incontinence

MR Keighley

Between 1977 and 1983, 105 patients had a postanal repair for the treatment of faecal incontinence. All except 8 patients were women. The principal reasons for operation were: persistent incontinence after rectopexy (n = 25), obstetric trauma (n = 18), anal dilatation (n = 12) and pelvic floor neuropathy (n = 41). One patient died after operation. Of 89 patients followed up for at least six months after operation, 56 (63%) have complete control of faeces and flatus, but 19 have control of solid faeces only and 14 are no better. The poor results were associated with wound sepsis and previous operations particularly in men.
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