Endosonographic study of anal sphincters in patients after surgery for Hirschsprung's disease

Efficacy of Pelvic Floor Muscle Training for the Treatment of Fecal Incontinence after Soave Procedure for Hirschsprung Disease

“…The anal sphincter may be compromised during dissection or from vigorous retraction to result in a lax and incompetent sphincter mechanism. 9 Kaul et al 10 thought colonic hyperactivity results in frequent fecal soiling in a subset of children after surgery for HD. Peña and Levitt 11 proposed that the mechanisms needed to maintain continence are intact sensation, voluntary sphincter control, and appropriate colonic motility.…”

Hirschsprung disease and fecal incontinence: diagnostic and management strategies

“…6) [22][23][24]. It has been demonstrated that adult patients with fecal incontinence after surgery for HD have decreased external anal sphincter resting pressure compared with postoperative patients with good bowel control [25].…”

The Correlation of Post Definitive Surgery and Quality of Life on Patient with Hirschsprung’s Disease: A Literature Review

“…Post operative incontinence happened caused by the current constipation complain [30]. Incontinence can be assessed using anorectal manometry, anal sonography, and direct examination of the anal canal in a search for the dentate line [21,22,31,32]. If the sphincter injury has been repaired, the obstructive complain should be treated as soon as possible.…”