Change in anal continence after surgery for XXXX : a functional and manometric study.

@entity1 @entity9292 @entity292
BACKGROUND AND AIMS: Dividing or "laying open" of the tract for @entity9292 is simple and effective and entails low risk of complication, but little is known of the functional and manometric results. This study assessed the clinical and manometric effect of this surgery on anal sphincter function. @entity1 AND METHODS: The study examined 45 adults undergoing surgical treatment for intersphincteral @entity292 . We administered the questionnaire for continence score and performed anorectal manometry before the operation and at least 6 months after the operation. The operative method was laying open of the @entity292 tract and trimming the redundant anoderm for adequate drainage of the wound in all cases. RESULTS: There was a significant decrease in maximal resting anal pressure and in resting pressure throughout the distal 2 cm of the anal canal after operation. The maximal contractile pressure after operation was similar to that before operation. Continence control was significantly poorer in @entity1 and @entity1 who had lower preoperative resting pressure. Multivariate analysis showed lower preoperative resting pressure to be the only independent factor for impaired continence control after @entity292 surgery. CONCLUSION: Although laying open of the @entity292 tract is a simple and effective therapy for @entity9292 , it should be more conservative for @entity1 with low resting anal pressure.
