{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:14:05Z","timestamp":1791803645287,"version":"4.3.4"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1996,4,1]],"date-time":"1996-04-01T00:00:00Z","timestamp":828316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1996,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A total of 55 women underwent sphincteroplasty for the treatment of faecal incontinence related to anterior defects. Patients were followed prospectively for a mean of 29 months to evaluate the outcome overall and according to age. All patients were evaluated clinically by means of a questionnaire and graded using an incontinence scoring system ranging from 0 (perfect continence) to 20 (complete incontinence). Some 52 patients (95 per cent) had had a previous vaginal delivery and 30 (55 per cent) had a history of previous anal sphincter repair. Physiological and functional parameters in patients with a successful outcome (n = 39) were compared with those in patients with a poor outcome (n = 16). The results were also compared in patients under (n = 39) and over (n = 16) 60 years of age. Overall, patients with a successful outcome had a significant change in mean and maximal resting and squeeze pressures. These changes correlated well with the increase in the high-pressure zone (HPZ) length from 1\u00b70\u20132\u00b72 cm (P = 0\u00b70002) and with functional outcome (change in incontinence score from 15\u00b73 to 5\u00b78; P &amp;lt; 0\u00b70001). In patients over 60 years of age, a significant change in mean squeeze pressure (P = 0\u00b703) and HPZ length (P = 0\u00b701) was noted and correlated with functional outcome (change in incontinence score from 14\u00b73 to 6\u00b74; P &amp;lt; 0\u00b70001). A successful outcome after anterior sphincteroplasty is related to improvement in sphincter function even in an older population. These results demonstrate that age itself does not seem to be a predictor of poor outcome. Patients should not be denied a repair exclusively on grounds of age.<\/jats:p>","DOI":"10.1002\/bjs.1800830421","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T04:33:06Z","timestamp":1172809986000},"page":"502-505","source":"Crossref","is-referenced-by-count":194,"title":["Physiological and clinical outcome of anterior sphincteroplasty"],"prefix":"10.1093","volume":"83","author":[{"given":"L","family":"Oliveira","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Cleveland Clinic Florida , 3000 West Cypress Creek Road, Fort Lauderdale, Florida 33309,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Pfeifer","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Cleveland Clinic Florida , 3000 West Cypress Creek Road, Fort Lauderdale, Florida 33309,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S D","family":"Wexner","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Cleveland Clinic Florida , 3000 West Cypress Creek Road, Fort Lauderdale, Florida 33309,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1996,4,1]]},"reference":[{"key":"2024092909415576200_bib1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1007\/BF02050202","article-title":"The role of sphincteroplasty for faecal incontinence reevaluated: a prospective physiologic and functional review","volume":"34","author":"Wexner","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2024092909415576200_bib2","first-page":"214","article-title":"A practical guide to basic anorectal physiology investigations","volume":"43","author":"Jorge","year":"1993","journal-title":"Contemporary Surgery"},{"key":"2024092909415576200_bib3","first-page":"64","article-title":"Principles of 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