Anal incontinence severity assessment tools used worldwide

Rušavý, Zdeněk; Jansová, Magdalena; Kališ, Vladimír

doi:10.1016/j.ijgo.2014.02.025

Cited by 25 publications

(31 citation statements)

References 22 publications

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“…Furthermore, the other key limitation for most of the included studies is the variability of outcome reporting and the lack of standardization of outcome measures. Some studies report functional outcome scores for both constipation and incontinence, e.g., Wexner/FISI, but these scoring systems are not necessarily appropriate for obstructed defaecation syndrome (ODS) or prolapse ( 18 , 19 ). Disease-specific scoring systems such as pelvic organ prolapse quantification system (POP-Q) or the ODS score ( 20 ), and quality of life scores (e.g., SF-36 EQ-5D) may be more appropriate but, these have not been used in any of the studies included in this review.…”

Section: Discussion/summarymentioning

confidence: 99%

Rectopexy for Rectal Prolapse

et al. 2015

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IntroductionVentral mesh rectopexy (VMR) is a recognized treatment for posterior compartment pelvic organ prolapse (POP). The aim of this review is to provide a synopsis of the evidence for biological mesh use in VMR, the most widely recognized surgical technique for posterior compartment POP.MethodsA systematic search of PubMed was conducted using the search terms “VMR,” “ventral mesh rectopexy,” or “mesh rectopexy.” Six studies were identified.ResultsAbout 268/324 patients underwent ventral rectopexy using biological mesh with a further 6 patients having a combination of synthetic and biological mesh. Recurrence was reported in 20 patients; however, 6 were from studies where data on biological mesh could not be extracted. There are no RCTs in VMR surgery and no studies have directly compared types of biological mesh. Cross-linked porcine dermal collagen is the most commonly used mesh and has not been associated with mesh erosion, infection, or fistulation in this review. The level of evidence available on the use of biological mesh in VMR is of low quality (level 4).ConclusionVentral mesh rectopexy has become prevalent for posterior compartment POP. The evidence base for its implementation is not strong and the quality of evidence to inform choice of mesh is poor.

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Section: Discussion/summarymentioning

confidence: 99%

Rectopexy for Rectal Prolapse

et al. 2015

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“…The Visual Analogue Scale (range 0–100) , Verbal Rating Score and Interference with Activities of Daily Living scales were used for scoring postpartum pain. Anal incontinence was scored using the Wexner score as it is the most commonly used scoring system worldwide , and St. Mark's score as it was recommended for scoring anal incontinence after the delivery .…”

Section: Methodsmentioning

confidence: 99%

Timing of episiotomy and outcome of a non‐instrumental vaginal delivery

Rušavý

Karbanová

Kališ

2015

Acta Obstet Gynecol Scand

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“…The diagnosis of postoperative anal fistula was based on the Practice Parameters for the Management of Perianal Abscess and Fistula-in-Ano (2011, USA) [15]. Anal incontinence was assessed using the Wexner score [17], with 0 indicating normal and 20 indicating complete incontinence. The repeated formation of abscess at the same site or failure to cure the same abscess for >2 months was defined as abscess recurrence [28].…”

Section: Observation Indicesmentioning

confidence: 99%

Safety and efficacy of three-cavity clearance in the management of cryptoglandular perianal abscess: A multicentre randomized controlled study

Zhang

Chen²,

Wei

et al. 2020

Preprint

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medRxiv preprint IF the manuscript is provisionally accepted, a VIDEO ABSTRACT will be required prior to final acceptance. 【ABSTRACT】 OBJECTIVE: To evaluate the safety and efficacy of three-cavity clearance in the management of cryptoglandular perianal abscess. METHOD: This was a multicentre randomized controlled study. The study was designed and approved by the ethics committee of the Second Affiliated Hospital of Nanjing University of Traditional Chinese Medicine. The study was registered in the Chinese Clinical Trial Register centre (ChiCTR1800016958).Patients with cryptoglandular perianal abscess in 5 Hospitals from Sept.2018 to Sept. 2019 were included.The anal fistula rate, anal incontinence, abscess recurrence, success rate, postoperative pain , wound healing time, and hospitalization duration were compared. RESULTS:Total 334 patients were enrolled in the study, who were 162 in the three-cavity clearance group and 172 in the control group. The anal fistula rate and abscess recurrence rate were 6.2% and 1.9% in the three-cavity clearance group (P=0.001) and 18.0% and 8.1% in the control group (P=0.009). No patients experienced fecal incontinence. The success rate in the three-cavity clearance group was 92.0% and that in the control group was 73.8% (P=0.00001). The postoperative pain on day 3 was lower in the three-cavity clearance group than that in the control group (P=0.002). The hospitalization duration was 9.0±5.4 days in the three-cavity clearance group and 10.4±6.1days in the control group (P=0.049). The wound healing time was 27.1±16.4 days in the three-cavity clearance group and 28.2±14.1 days in the control group (P=0.764). CONCLUSIONS:This randomized controlled study showed that three-cavity clearance is a safe and effective management of cryptoglandular perianal abscess.【 Keywords 】 perianal abscess, three-cavity clearance, simple incision and drainage, multicentre randomized controlled study

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Anal incontinence severity assessment tools used worldwide

Abstract: Although the Wexner score neglects fecal urgency, it is the most commonly used scoring system. The study contributes to the standardization of terminology and reproducibility of results in research and clinical management of anal incontinence.

Cited by 25 publications

References 22 publications

Rectopexy for Rectal Prolapse

Rectopexy for Rectal Prolapse

Timing of episiotomy and outcome of a non‐instrumental vaginal delivery

Safety and efficacy of three-cavity clearance in the management of cryptoglandular perianal abscess: A multicentre randomized controlled study

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