{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T20:48:45Z","timestamp":1772052525070,"version":"3.50.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007154","name":"Wake Forest University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007154","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction and Hypothesis<\/jats:title>\n            <jats:p>Knowledge regarding rates of improvement of fecal incontinence (FI) after repair of posterior compartment prolapse is limited. We aimed to estimate the rate of resolution or improvement of fecal incontinence postoperatively following transvaginal posterior compartment repair.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This was a retrospective cohort study including patients with diagnosis of fecal incontinence who underwent transvaginal posterior repair at a single academic institution between 1\/2016 and 1\/2022. Patients who underwent concomitant anal sphincteroplasty served as controls. The primary outcome was resolution of FI symptoms within 6-weeks postoperatively. Secondary outcomes included improvement of FI symptoms and preoperative anorectal manometry characteristics. Univariate and bivariate analysis were performed to describe and compare outcomes between groups with multivariable regression performed to address potential confounders.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of 179 patients included, 91 had posterior repair alone, while 88 had concomitant anal sphincteroplasty. Demographic and clinical characteristics were similar between groups. Overall, 143 (80%) patients did not report any FI symptoms at their 6-week postoperative visit. An additional 28 (16%) reported improvement in FI symptoms. Among patients who underwent posterior repair alone, 76 (84%) had resolution of their FI compared to 67 (76%) in patients with concomitant anal sphincteroplasty (<jats:italic>P<\/jats:italic>\u2009=\u20090.6); 71 patients underwent anorectal manometry preoperatively. There were no significant differences in mean average resting pressures or mean maximum squeeze pressures between groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Posterior compartment repair resulted in resolution or improvement of fecal incontinence symptoms within 6-weeks postoperatively. The mechanism for FI symptoms in women with rectoceles may be independent of the anal sphincter complex.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-025-06096-z","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T07:19:41Z","timestamp":1742714381000},"page":"1061-1066","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fecal Incontinence Outcomes Following Transvaginal Posterior Vaginal Wall Repair"],"prefix":"10.1007","volume":"36","author":[{"given":"Jersey B.","family":"Burns","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr El","family":"Haraki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesseca","family":"Crawford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4227-3600","authenticated-orcid":false,"given":"Candace Y.","family":"Parker-Autry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,22]]},"reference":[{"issue":"2","key":"6096_CR1","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1016\/j.jviscsurg.2020.10.001","volume":"158","author":"M Aubert","year":"2021","unstructured":"Aubert M, Mege D, Le Huu NR, Meurette G, Sielezneff I. Surgical management of the rectocele - an update. J Visc Surg. 2021;158(2):145\u201357. https:\/\/doi.org\/10.1016\/j.jviscsurg.2020.10.001.","journal-title":"J Visc Surg"},{"issue":"4","key":"6096_CR2","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1016\/s0029-","volume":"100","author":"M Meschia","year":"2002","unstructured":"Meschia M, Buonaguidi A, Pifarotti P, Somigliana E, Spennacchio M, Amicarelli F. Prevalence of anal incontinence in women with symptoms of urinary incontinence and genital prolapse. Obstet Gynecol. 2002;100(4):719\u201323. https:\/\/doi.org\/10.1016\/s0029-.","journal-title":"Obstet Gynecol"},{"issue":"1","key":"6096_CR3","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1055\/s-2005-864082","volume":"18","author":"PY Lee","year":"2005","unstructured":"Lee PY, Steele SR. Complete pelvic floor repair in treating fecal incontinence. Clin Colon Rectal Surg. 2005;18(1):55\u20139. https:\/\/doi.org\/10.1055\/s-2005-864082.","journal-title":"Clin Colon Rectal Surg"},{"key":"6096_CR4","doi-asserted-by":"publisher","unstructured":"Hannaway CD, Hull TL. Fecal incontinence. Obstet Gynecol Clin North Am. 2008;35(2):249\u201369, viii. https:\/\/doi.org\/10.1016\/j.ogc.2008.03.005.","DOI":"10.1016\/j.ogc.2008.03.005"},{"issue":"1 Suppl 1","key":"6096_CR5","doi-asserted-by":"publisher","first-page":"S14","DOI":"10.1053\/j.gastro.2003.10.013","volume":"126","author":"SS Rao","year":"2004","unstructured":"Rao SS. Pathophysiology of adult fecal incontinence. Gastroenterology. 2004;126(1 Suppl 1):S14-22. https:\/\/doi.org\/10.1053\/j.gastro.2003.10.013.","journal-title":"Gastroenterology"},{"issue":"1","key":"6096_CR6","doi-asserted-by":"publisher","first-page":"76.e1","DOI":"10.1016\/j.ajog.2007.02.045","volume":"197","author":"AM Gustilo-Ashby","year":"2007","unstructured":"Gustilo-Ashby AM, Paraiso MF, Jelovsek JE, Walters MD, Barber MD. Bowel symptoms 1 year after surgery for prolapse: further analysis of a randomized trial of rectocele repair. Am J Obstet Gynecol. 2007;197(1):76.e1-5. https:\/\/doi.org\/10.1016\/j.ajog.2007.02.045.","journal-title":"Am J Obstet Gynecol"},{"issue":"5","key":"6096_CR7","doi-asserted-by":"publisher","first-page":"376","DOI":"10.3393\/ac.2021.00157.0022","volume":"38","author":"MS De Robles","year":"2022","unstructured":"De Robles MS, Young CJ. Transperineal rectocele repair is ideal for patients presenting with fecal incontinence. Ann Coloproctol. 2022;38(5):376\u20139. https:\/\/doi.org\/10.3393\/ac.2021.00157.0022.","journal-title":"Ann Coloproctol"},{"issue":"1","key":"6096_CR8","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1007\/s003840050008","volume":"15","author":"JH Van Dam","year":"2000","unstructured":"Van Dam JH, Huisman WM, Hop WC, Schouten WR. Fecal continence after rectocele repair: a prospective study. Int J Colorectal Dis. 2000;15(1):54\u20137. https:\/\/doi.org\/10.1007\/s003840050008.","journal-title":"Int J Colorectal Dis"},{"issue":"4","key":"6096_CR9","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1007\/s00261-023-03807-2","volume":"48","author":"G Sun","year":"2023","unstructured":"Sun G, de Haas RJ, Trzpis M, Broens PMA. A possible physiological mechanism of rectocele formation in women. Abdom Radiol (NY). 2023;48(4):1203\u201314. https:\/\/doi.org\/10.1007\/s00261-023-03807-2.","journal-title":"Abdom Radiol (NY)"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06096-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06096-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06096-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T13:18:43Z","timestamp":1750511923000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06096-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,22]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["6096"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06096-z","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,22]]},"assertion":[{"value":"26 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study obtained full approval from the Institutional Review Board of Atrium Health Wake Forest Baptist Health system.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"1. International Continence Society, September 2023, Toronto, Canada.2. American Urogynecologic Society, October 2023, Portland, Oregon, United States.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Prior Presentations"}},{"value":"The authors declare that they have no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}}]}}