Decoding the Risks of Fecal Incontinence: A Comprehensive Analysis of Closed Internal Sphincterotomy in Chronic Anal Fissure
2024

Understanding Fecal Incontinence Risks After Surgery for Anal Fissures

Sample size: 139 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Farid Babur, Rehman Haseena, Ali Mukhtiar, Miraj Muska, Amjad Mahnoor, Ali Basit, Khan Zarak, Abu Bakkar Muhammad

Primary Institution: Lady Reading Hospital Medical Teaching Institution (MTI), Peshawar, PAK

Hypothesis

What is the prevalence of fecal incontinence in patients with chronic anal fissure undergoing closed internal sphincterotomy?

Conclusion

The study found that 10% of patients experienced fecal incontinence after undergoing closed lateral internal sphincterotomy for chronic anal fissure.

Supporting Evidence

  • Fecal incontinence was observed in 10% of patients after surgery.
  • The study included a total of 139 patients.
  • The mean age of participants was 30 years.
  • The study was conducted over a 6-month period.

Takeaway

After surgery for anal fissures, some people might have trouble controlling their bowel movements, but it's not very common.

Methodology

Descriptive case series conducted over 6 months with 139 patients diagnosed with chronic anal fissures.

Potential Biases

Potential underreporting of fecal incontinence due to embarrassment or social stigma.

Limitations

The sample size may limit generalizability, and there may be reporting bias regarding fecal incontinence.

Participant Demographics

Mean age was 30 years; 45% male and 55% female.

Statistical Information

P-Value

0.9949

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.74216

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