{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T13:57:37Z","timestamp":1766066257208},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T00:00:00Z","timestamp":1364342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> The study aimed to quantify incontinence before and after laparoscopic rectopexy in patients suffering from rectal prolapse.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Eighty\u2010five patients underwent laparoscopic rectopexy to treat rectal prolapse between 2003 and 2009. Symptomatic and functional data were collected prospectively before and after surgery by self\u2010administered questionnaires including the Cleveland Clinic Fecal Incontinence Score (CCIS) and constipation, gastrointestinal quality of life and urinary incontinence questionnaires. Incontinence was considered to be present when the CCIS remained at \u2265\u20035 after surgery.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> After a mean follow\u2010up period of 36\u2003months after surgery, 83% of the patients reported good to excellent results. Continence was improved in 58 (68%), with a significant decrease in the continence score (\u22123.4\u2003\u00b1\u20035.8, <jats:italic>P\u2003<\/jats:italic>=\u20030.001). However, 50 (58.9%) patients remained incontinent: 47 (55%) reported urge incontinence and 27 (32%) had passive leakage. Incontinence for liquid stool, incontinence for solid stool and the need for protection was seen in 43 (51%), 35 (41%) and 43 (51%) patients. Manometry, defaecography and ultrasonography were not associated with any improvement. In contrast, the patients\u2019 average age (60.2\u2003\u00b1\u200315.8 <jats:italic>vs<\/jats:italic> 46.9\u2003\u00b1\u200315.5\u2003years; <jats:italic>P\u2003<\/jats:italic>=\u20030.003), symptom duration before surgery (58.1\u2003\u00b1\u200370.1 <jats:italic>vs<\/jats:italic> 29.5\u2003\u00b1\u200333.3\u2003months; <jats:italic>P\u2003<\/jats:italic>=\u20030.011), preoperative urinary incontinence score (10.7\u2003\u00b1\u200310.8 <jats:italic>vs<\/jats:italic> 4.2\u2003\u00b1\u20035.7; <jats:italic>P\u2003<\/jats:italic>=\u20030.0131) and faecal incontinence score (12.9\u2003\u00b1\u20034.9 <jats:italic>vs<\/jats:italic> 7.1\u2003\u00b1\u20036; <jats:italic>P\u2003<\/jats:italic>&lt;\u20030.0001) were significantly higher in patients suffering from postoperative incontinence.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Despite some continence improvement in two\u2010thirds of patients who underwent surgery for rectal prolapse, the level of improvement remained low in more than half of the patients.<\/jats:p>","DOI":"10.1111\/codi.12027","type":"journal-article","created":{"date-parts":[[2012,9,12]],"date-time":"2012-09-12T05:12:45Z","timestamp":1347426765000},"page":"470-476","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Incontinence in full\u2010thickness rectal prolapse: low level of improvement after laparoscopic 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