{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:22:56Z","timestamp":1777504976803,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T00:00:00Z","timestamp":1567468800000},"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":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Secondary sphincter repair has been the conventional management of anal incontinence (<jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>) when a structural defect in the sphincter is recognized. However, disappointing long\u2010term results have contributed to a tendency towards an increasing use of alternative treatment methods. This study aimed to assess the long\u2010term functional outcomes following a secondary sphincter repair in women with <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content> after obstetric sphincter injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This is a questionnaire study of women who underwent a secondary sphincter repair in Denmark between January 1990 and December 2005. Patients were identified through the Danish National Patient Registry. Functional outcomes were assessed by a self\u2010administered questionnaire in 2010 and 2018. Primary outcomes were Wexner and St. Mark's scores. Impact on quality of life was assessed using the Fecal Incontinence Quality of Life Scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Functional outcome was assessed in 370 women in 2010 and 255 women in 2018. At 18.3\u00a0[interquartile range (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 15.0\u201322.0)] years of follow\u2010up, the mean \u00b1 <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> Wexner score was 8.8 \u00b1\u00a04.8 and the mean St. Mark's score was 11.7\u00a0\u00b1\u00a05.0. Flatus incontinence was the most frequent symptom, reported by 97%. Incontinence for liquid and solid stools was reported by 75% and 54%, respectively. There were no significant changes in incontinence frequencies over time. Women with a Wexner score\u00a0of \u2265\u00a09 had a significantly lower quality of life score in all domains than did women with a Wexner score\u00a0of &lt;\u00a09 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>At long\u2010term follow\u2010up, few patients are fully continent following a secondary sphincter repair. However, it appears that the functional results remain stable at very long\u2010term follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14792","type":"journal-article","created":{"date-parts":[[2019,7,26]],"date-time":"2019-07-26T09:07:26Z","timestamp":1564132046000},"page":"71-79","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Secondary sphincter repair for anal incontinence following obstetric sphincter injury: functional outcome and quality of life at 18\u00a0years of follow\u2010up"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2871-2977","authenticated-orcid":false,"given":"M.","family":"Barbosa","sequence":"first","affiliation":[{"name":"Pelvic Floor Unit Department of Surgery Aarhus University Hospital Aarhus N 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