Continence Disorders after Anal Fistulotomy Zedan Ayoub Motlak1,*, Lateef Jamal Abbas2, Abbas Mohammed Salih3 1Assis. Prof. Department of Surgery, College of Medicine, Tikrit University, Salahdine-Iraq 2Professor, Department of Surgery, College of Medicine, Tikrit University, Salahdine-Iraq 3Doctor Salahadden General Hospital, Salahdine-Iraq *Corresponding Author: Ayoub Motlak Zedan, Assis. Prof. M.B. Ch. B. F.I.C.S. Department of Surgery, College of Medicine, Tikrit University, Salahdine-Iraq. Email: Ayoubmotlak@yahoo.com, Phone: 009647719330585.
Online published on 27 November, 2019. Abstract Background Fecal incontinence is a common debilitating disorder resulting from numerous causes. It may result in significant secondary morbidity and disability. Anal fistulotomy, with internal or external sphincter incision can predispose for Fecal incontinence. Globally, it was reported an incidence rate of Fecal incontinence from 18 to 52% following fistulotomy. Aims This study aimed to investigate the incidence Fecal incontinence in a sample of Salah Al-Deen General Hospital patients undergoing fistulotomy, and to assess the different risk factors associated with this incidence. Patients and Method This is a prospective study which included 60 adults patients who were undergone fistulotomy at the department of surgery Salah Al-Deen General Hospital during the period from April. 2018 to Oct. 2018. Patients were followed up for 6 months after the surgical operation. Demographic, operative and clinical data were collected for all patients. During following up period, patients were divided into two groups: those who developed Fecal incontinence and those without Fecal incontinence. Results After six month follow up, 12 out of 60 patients (20%) have developed Fecal incontinence. Three factors appeared to have a significant association with Fecal incontinence. The first risk factor was patient's age, with older ages (>45 years) were more susceptible for Fecal incontinence (OR= 6.0, 95%CI=1.53–23.53, p= 0.014). Female sex was also associated with greater risk for Fecal incontinence than male sex (OR= 4.33, 95%CI=1.13–6.61, p=0.034). Finally, high type fistula was recognized in 41.67% of patients who developed Fecal incontinence, while only 6.25% of patients without Fecal incontinence had high type of fistula, with a high significant difference (OR= 10.71, 95%CI=2.08–55.12, p=0.01). Top Keywords Fecal incontinence, Risk factors, fistulotomy, surgical technique, deformity. Top |