Background and objectives: Anal fissure is a painful wound in the anoderm and distal to dentate line, the chronic fissure leads to hypertrophy and fibrosis. In this study, we compared partial and total sphincterotomy in patients with chronic anal fissure. Methods: In this comparative cohort, 100 patients (52 female and 48 male )mean age 43.34 ± 15.28 year...

Faecal incontinence has been previously defined as ‘the involuntary or inappropriate passage of faeces’. This definition, however, is considered to be incomplete as it does not include incontinence to flatus. Therefore many adopt the term anal incontinence to include flatus. The current recommended definition of anal incontinence is the involuntary loss of flatus, liquid or solid stool that is ...

AIM An increase in intestinal gas production due to small intestinal bowel overgrowth (SIBO) is a contributing factor for flatus incontinence. The aims of our study were to assess the efficacy of metronidazole in a select population of patients with flatus incontinence associated with SIBO and to compare its efficacy with that of a combination of simethicone and activated charcoal (SC; Carbosyl...

BACKGROUND Conflicting results are reported about the contribution of maternal, obstetric and fetal characteristics to postpartum fecal incontinence (FI), which is hampering prevention and management of FI. OBJECTIVE To perform a systematic review identifying delivery-related etiological factors for postpartum FI. Search strategy. Literature searches of PubMed, EMBASE, CINAHL, DocOnline and r...

OBJECTIVE To evaluate the relation between midline episiotomy and postpartum anal incontinence. DESIGN Retrospective cohort study with three study arms and six months of follow up. SETTING University teaching hospital. PARTICIPANTS Primiparous women who vaginally delivered a live full term, singleton baby between 1 August 1996 and 8 February 1997: 209 who received an episiotomy; 206 who d...

CONTEXT Although success rates are limited, anal sphincteroplasty is commonly used to treat women with fecal incontinence. OBJECTIVES To investigate the long-term efficacy of a novel surgical procedure-sphincteroplasty with perineal reconstruction-for the management of fecal incontinence. METHODS The current prospective study comprised women presenting to the Division of Urogynecology and R...

BACKGROUND Incontinence of stool and flatus are frequent complications of childbirth. We examined the prevalence and possible causes of these adverse outcomes in a large cohort of women. METHODS We studied 949 pregnant women who gave birth in 5 hospitals in 1995/96 in the province of Quebec. These women, participants in a randomized controlled trial of prenatal perineal massage, completed a s...