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Corresponding Author

Ahmed Elsayed Fekry Abdelnabi Morssi Shanab

Document Type

Original Article

Abstract

Background: Fecal incontinence (FI) is the inability to regulate the release of bowel contents or the involuntary flow of fecal matter via the anus.

Aim and objectives: To show and track the development of fecal incontinence following anorectal surgeries, such as hemorrhoidectomy, fistulotomy, sphincterotomy, and fistulectomy, at the 2-, 4-, and 6-week postoperatively.

Patients and methods: This is a prospective, cross-sectional and observational study carried out on sixty (60) patients; twenty (20) patients with hemorrhoid disease surgeries, twenty (20) patients with fissure disease surgeries, and twenty (20) patients with anal fistula disease surgeries recruited from outpatient surgery clinic of Misr University for science and technology Hospital (MUST) and Sheikh Zayed specialized hospital by simple random sampling technique in the period from May 2023 to December 2023.

Results: Two Patients out of 20 who underwent lateral internal sphincterotomy got fecal incontinence. 7 out of 20 get incontinence after fistulotomy. No fecal incontinence was detected in 20 patients after open haemorrhoidectomy.

Conclusion: In actuality, inadequate intestinal continence is a significant side effect following anorectal procedures, when sphincter damage frequently results in anal continence issues. While almost all patients with chronic anal fissures have healing and relief from symptoms after lateral internal sphincterotomy, incontinence is a common side effect. The majority of incontinence episodes are brief and mild.

Keywords

Anal surgeries; Stool incontinence

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