A patient-rated, surgeon-corrected scale for functional assessment after total anorectal reconstruction

Abstract

Although not validated, the patient-rated, surgeon-corrected adjustment of the WPASR system proved in our patients a reliable instrument for functional assessment. Its consensus administration to any given patient samples requires further research.

Total perineal reconstruction after abdominoperineal excision for rectal cancer: long‐term results of dynamic graciloplasty with Malone appendicostomy

“…Nevertheless, it is clear that colonic evacuation remains a significant problem in most reports of TPR [13,14,25]. In our series, the functional results were assessed using the modified version of the WPASR scoring system, a scoring scale of 0–20 dealing jointly with incontinence and constipation [5]. The overall median score after a median follow up of 40 months was 9.5, and the overall median score was 6 after a median follow up of 78 months.…”

“…Mortality and morbidity (early; within 30 days of surgery, late; more than 30 days of surgery) and oncological outcome were recorded prospectively. Function was assessed after ileostomy closure using a modified version of the Working Party on Anal Sphincter Replacement (WPASR) scoring system; a 0-20 scoring scale accounting jointly for incontinence and constipation [5]. The questionnaire included assessment of continence for solid stools, liquid stools, gas and minor staining, and of difficulty of evacuation (straining for more than 30 min, incomplete or failed evacuation, use of enemas ⁄ irrigation ⁄ digital evacuation).…”

Malone appendicostomy: an unexpected complication

“…After 7-year follow-up, there was no evidence of tumour recurrence. Functional (3/20 on the modified version of the Working Party on Anal Sphincter Replacement (WPASR) scoring system [13]) and quality of life scores (75 on EORTC QLQ-C30-CR38 [14,15]) had been satisfactory. At presentation, however, the patient described increasing difficulty with intubation of her appendicostomy and complete reflux of the enema liquid.…”

Techniques chirurgicales de traitement du carcinome épidermoïde de l’anus: amputation abdominopérinéale, colostomie périnéale, reconstruction périnéale par lambeaux

“…La majorité des complications décrites pour cette technique se produisent durant la première année et peuvent être corrigées par un abord chirurgical local. Le résultat fonctionnel a été évalué à l'aide du modified version of the Working Party on Anal Sphincter Replacement (WPASR) scoring system [44]. Après un suivi de 78 mois, les huit patients ont un score médian WPASR de 6/20, correspondant à un bon résultat.…”