{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T08:00:10Z","timestamp":1767772810081,"version":"3.37.3"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2004,6,22]],"date-time":"2004-06-22T00:00:00Z","timestamp":1087862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Swedish Research Council","doi-asserted-by":"publisher","award":["K 2002-73X-144221-01A"],"award-info":[{"award-number":["K 2002-73X-144221-01A"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,8,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The treatment of choice in idiopathic (neurogenic) faecal incontinence is controversial. In a randomized study levatorplasty was compared with anal plug electrostimulation of the pelvic floor with respect to functional outcome and physiological variables.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Thirty-one patients underwent levatorplasty and 28 anal plug electrostimulation of the pelvic floor over 3 years. The results were evaluated at 3, 12 and 24 months after completion of treatment by means of a validated questionnaire and anorectal manometry and manovolumetry.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Incontinence scores were significantly reduced during the entire observation period in both groups (P &amp;lt; 0\u00b7001) as was the use of pads (P = 0\u00b7003 to P &amp;lt; 0\u00b7001). The proportion of patients reporting improvement in physical and social handicap was greater in the levatorplasty group after 3, 12 and 24 months (P = 0\u00b7036 to P &amp;lt; 0\u00b7001). No significant changes in physiological variables were observed in either group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Better results were obtained with levatorplasty than with anal plug electrostimulation of the pelvic floor in patients with idiopathic (neurogenic) faecal incontinence. Levatorplasty should be therefore be considered the treatment of choice for this condition.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.4577","type":"journal-article","created":{"date-parts":[[2004,6,22]],"date-time":"2004-06-22T15:00:48Z","timestamp":1087916448000},"page":"1131-1137","source":"Crossref","is-referenced-by-count":21,"title":["Randomized clinical trial comparing conservative and surgical treatment of neurogenic faecal incontinence"],"prefix":"10.1093","volume":"91","author":[{"given":"A","family":"\u00d6sterberg","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Edebol Eeg-Olofsson","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology, University Hospital, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"H\u00e5lld\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Graf","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2004,6,22]]},"reference":[{"key":"2021070911510130700_bib1","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1002\/bjs.1800750821","article-title":"Delayed external sphincter repair for obstetric tear","volume":"75","author":"Lauerberg","year":"1988","journal-title":"Br J Surg"},{"key":"2021070911510130700_bib2","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1007\/BF02052145","article-title":"Obstetric fecal incontinence. 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