{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:19:22Z","timestamp":1753870762209,"version":"3.41.2"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,11,26]],"date-time":"2008-11-26T00:00:00Z","timestamp":1227657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Stapled anopexia was introduced as a surgical method in 1993. Long\u2010term data with special interest in functional results and relapse symptoms are rarely presented. Urinary discomfort and problems with fecal urge incontinence are addressed as severe side effects. We present our long\u2010term results (using data from a high\u2010volume center) with this technique and two surgeons\u2019 experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During 4 years, a total of 546 patients entered the study. For long\u2010term evaluation, 452 patients (237 women and 215\u00a0men) were available (82.9%). Patients with recurrent hemorrhoidal prolapse and fecal incontinence were excluded. Postoperative reevaluation with physical condition was performed after 1, 6, and 24\u00a0months by means of manometry, rectoscopy, and SF\u201036 Health Survey Test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Early postoperative urinary impairment was 7.3%. Early fecal urge incontinence rate was 3.3%. Overall perioperative complication rate was 11.1%. Within 1\u00a0month, the rate of fecal urge incontinence increased to 13.5% and decreased to 4% and 2.9% after a period of 6 and 24\u00a0months. Overall recurrence rate was 3.3%. Reoperation rate according to the primary indication was 2.9% after 24\u00a0months. The SF\u201036 data showed a return to normal 1\u00a0month after the procedure was performed. Overall satisfaction rate was 95.4%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study demonstrates that stapled anopexia is a safe and secure procedure for treatment of hemorrhoidal prolapse. Fecal urge incontinence is a self\u2010limiting side effect that with which patients need to be made familiar.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9818-z","type":"journal-article","created":{"date-parts":[[2008,12,3]],"date-time":"2008-12-03T19:03:19Z","timestamp":1228330999000},"source":"Crossref","is-referenced-by-count":16,"title":["Fecal Urge Incontinence After Stapled Anopexia for Prolapse and Hemorrhoids: A Prospective, Observational Study"],"prefix":"10.1002","volume":"33","author":[{"given":"Johannes","family":"Schmidt","sequence":"first","affiliation":[{"name":"Department of Surgery LAKUMED, Teaching Hospital Technical University Munich (TUM) Landshut Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nevzat","family":"Dogan","sequence":"additional","affiliation":[{"name":"Department of Surgery Alfried Krupp Klinikum Essen Lutherhaus Essen 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