{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:07:22Z","timestamp":1777943242206,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,8,4]],"date-time":"2017-08-04T00:00:00Z","timestamp":1501804800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>Objective: The aim of this study was to evaluate the medium-term outcomes of internal Delorme\u2019s procedure for treating obstructed defecation syndrome (ODS) patients with impaired anal continence. Patients and Methods: In a retrospective study, 41 ODS patients who underwent internal Delorme\u2019s procedure between 2011 and 2015 were divided into 3 subgroups according to their associated symptoms of impaired continence, as urgency, passive fecal incontinence and both, before study. Then the patients\u2019 preoperative statuses, perioperative complications, and postoperative outcomes were investigated and collected from standardized questionnaires, including Altomare ODS score, Fecal Incontinence Severity Index (FISI), Patient Assessment of Constipation\u2013Quality of Life Questionnaire (PAC-QoL), and Fecal Incontinence Quality of Life Scale (FIQLS). All results with a 2-tailed P &lt; .05 were considered statistically significant. Results: At an average 2.8 years of follow-up, there were significant improvements ( P &lt; .01) in Altomare ODS score, FISI, PAC-QoL, and FIQLS in all patients when comparing scores from before the operation with those at the final follow-up. Similar results were also observed in both the urgency subgroup and passive fecal incontinence subgroup, but there were no statistically significant improvements ( P &gt; .05) in Altomare ODS score, FISI, PAC-QoL, or FIQLS in the urgency and passive fecal incontinence subgroups. Anorectal manometry showed the mean value of anal resting pressure increased 20%. Additionally, no major complications occurred. Conclusion: Internal Delorme\u2019s procedure is effective without major morbidity for treating ODS associated with urgency or passive fecal incontinence, but it may be less effective for treating ODS associated with both urgency and passive fecal incontinence.<\/jats:p>","DOI":"10.1177\/1553350617723771","type":"journal-article","created":{"date-parts":[[2017,8,5]],"date-time":"2017-08-05T02:20:34Z","timestamp":1501899634000},"page":"566-573","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Internal Delorme\u2019s Procedure for Treating ODS Associated With Impaired Anal Continence"],"prefix":"10.1177","volume":"24","author":[{"given":"Weicheng","family":"Liu","sequence":"first","affiliation":[{"name":"Cisanello Hospital of Pisa, University Hospital of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Sturiale","sequence":"additional","affiliation":[{"name":"Cisanello Hospital of Pisa, University Hospital of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardina","family":"Fabiani","sequence":"additional","affiliation":[{"name":"Cisanello Hospital of Pisa, University Hospital of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iacopo","family":"Giani","sequence":"additional","affiliation":[{"name":"Cisanello Hospital of Pisa, University Hospital of Pisa, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Menconi","sequence":"additional","affiliation":[{"name":"Cisanello Hospital of Pisa, University Hospital of Pisa, Pisa, 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