نتایج بالینی پس از انجام جراحی دلورم در درمان اختلال انسدادی دفع

Background and purpose: Obstructive defecation syndrome (ODS) is a common dysfunction that affects adult female population. The Delorme’s procedure is a perineal approach for obstructed defecation syndrome. This study was designed to investigate the clinical outcomes after Delorme’s procedure for obstructed defecation syndrome. Material and methods: The study was carried out between June 2012 to October 2013 in which 22 patients with obstructed defecation syndrome had undergone Delorme’s procedure. Functional scores were measured and compared with preoperative scores. Results: The mean age of the patients was 51.1±16 years. The mean follow-up period was 10.6 months. The mean of longo score was 15.2±6.3 before the procedure and 3.1±2.9 after the procedure, which revealed statistically significant difference (P<0.0001). The mean of incontinence score was 3.3 and 0.9 before and after the Delorme’s procedure, respectively (P=0.002). Wexner constipation score revealed significant improvement after the surgery (11.3±5.2 before the surgery vs. 3.3±2.8 after the surgery P<0.0001). The mean of satisfaction score was 7.7±2. Conclusion: The Delorme’s procedure is a perineal technique that resolves obstructed defecation syndrome and is a low-risk surgery with less morbidity. The procedure is associated with a marked improvement in anal continence, relatively low relapse rates, and a low incidence of postoperative constipation. This shows that this procedure could be very beneficial in selected patients.