Postanal repair for faecal incontinence persisting after rectopexy

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Abstract
Eleven patients (nine women) with persistent faecal incontinence after rectopexy for rectal prolapse were treated by postanal repair. Follow‐up data, including clinical and anorectal physiology, at 5–8 years (median 76 (range 64–95) months) were available for nine patients. At long‐term follow‐up, seven of the nine patients had improved continence (two were continent to solid and liquid stools, and five to solid stool). One patient required a colostomy. Median (range) physiological findings before and after postanal repair in the nine patients were: anal canal length 2.3 (1.5–3.0) versus 3.5 (2.0–5.5) cm (Pversus 35 (10–55) cmH2O (Pversus 0 (3 to –0.2) cm; and mean pudendal nerve terminal motor latency 2.35 (2.0–3.1) versus 2.85 (2.3–3.4) ms.
Funding Information
  • Ospedale Maggiore Policlinico IRCCS, Milan, Italy