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Int J Colorectal Dis 2019 Feb 19. Epub 2019 Feb 19.

Department of Emergency and Organ Transplantation and Inter-Department Research Center for Pelvic Floor Diseases (CIRPAP), University "Aldo Moro" of Bari, Piazza G Cesare, 11, 70124, Bari, Italy.

Aim: To evaluate the reason for failure of STARR (stapled transanal rectal resection) operation for obstructed defecation.

Methods: A retrospective study (June 2012-December 2017) was performed using a prospectively maintained database of patients who underwent STARR operation for ODS (obstructed defecation syndrome), complaining of persisting or de novo occurrence of pelvic floor dysfunctions. Postoperative St Mark's and ODS scores were evaluated. Read More

Int Urogynecol J 2019 Feb 19. Epub 2019 Feb 19.

Department of Obstetrics and Gynecology, the Edith Wolfson Medical Center, Holon, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Ha'Lochamim 62, PO Box 5, 58100, Holon, Israel.

Introduction And Hypothesis: Protracted postpartum urinary retention (P-PUR) is a rare puerperal complication of overt urinary retention that proceeds beyond the 3rd postpartum day. Long-term consequences of P-PUR are poorly reported. The objective of the study was to compare the long-term outcome of patients with P-PUR with a matched control group, using a validated pelvic floor distress questionnaire. Read More

Int Urogynecol J 2019 Feb 19. Epub 2019 Feb 19.

Department of Urogynaecology, KK Woman and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.

Introduction And Hypothesis: Pelvic floor dysfunction is a common condition which can lead to distressing consequences such as urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI). Pregnancy is a known major risk factor. This study aims to assess the level of knowledge about pelvic floor disorders among pregnant women in our local population. Read More

Sci Rep 2019 Feb 19;9(1):2250. Epub 2019 Feb 19.

Department of Obstetrics and Gynecology, Nîmes University Hospital, Univ., Montpellier, Nîmes, France.

The objective of our observational prospective study was to investigate the severity and prevalence of urinary and pelvic floor disorders in gynecologic cancer survivors. All patients surviving gynecological cancer in the region as well as women receiving invitations to attend breast-screening checkups as the control population were asked to fill-in questionnaires assessing pelvic prolapse symptoms (PFDI-20, Wexner) and associated quality of life (PFIQ-7). Eighty-nine women were included in the cancer survivor group and 1088 in the control group. Read More

Neurourol Urodyn 2019 Feb 19. Epub 2019 Feb 19.

Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California, San Diego, California.

Aims: To define the operational resting sarcomere length (L ) of the female rat external urethral sphincter (EUS) and external anal sphincter (EAS) and to determine the mechanism of parturition-related injury of EUS and EAS using a simulated birth injury (SBI) vaginal distention model.

Methods: EUS and EAS of 3-month-old Sprague-Dawley control and injured rats were fixed in situ, harvested, and microdissected for L measurements and assessment of ultrastructure. EUS and EAS function was determined at baseline, and immediately and 4 weeks after SBI, using leak point pressure (LPP) and anorectal manometry (ARM), respectively. Read More

Colorectal Dis 2019 Feb 15. Epub 2019 Feb 15.

Sir Alan Parks Physiology Unit, St Mark's Hospital and Academic Institute, London North West University Healthcare NHS Trust, Harrow, UK.

Introduction: The Renew Anal Insert is a recent treatment for patients who suffer from passive faecal incontinence (FI). The aim was to assess the effectiveness of the insert and patient satisfaction.

Method: A retrospective audit of patients who were treated with the Renew Anal Insert was undertaken. Read More

Medicine (Baltimore) 2019 Feb;98(7):e14482

South China Research Center for Acupuncture and Moxibustion.

Background: Fecal incontinence is a socially and emotionally destructive condition that has a negative impact on personal image, self-confidence, and quality of life. Acupuncture is commonly used to treat chronic conditions, including fecal incontinence. However, no relevant systematic review or meta-analysis has been designed to evaluate the effects of acupuncture on fecal incontinence. Read More

Am Surg 2019 Jan;85(1):46-51

Fecal incontinence is a debilitating and underreported condition. Despite introduction of novel therapies in recent years, anal sphincteroplasty (AS) remains the surgical choice for certain patients. Previous reports have primarily focused on single-surgeon or single-center experience with AS. Read More

Tech Coloproctol 2019 Feb 13. Epub 2019 Feb 13.

Department of General and Visceral Surgery, Friedrich-Alexander-University, Krankenhausstraße 12, 91054, Erlangen, Germany.

Background: Permacol™ collagen paste, an acellular crosslinked porcine dermal collagen matrix suspension, is a new treatment option for anal fistula. Data remain limited, however, and as yet only the results of one case of Crohn's fistula treated with Permacol™ paste has been reported. The aim of this study was to assess the use of Permacol™ collagen paste in patients with cryptoglandular and Crohn's perianal fistulae. Read More

Mymensingh Med J 2019 Jan;28(1):206-213

Dr Nasrin Akhter, Associate Professor, Department of Obstetrics & Gynecology, Dhaka Medical College, Dhaka, Bangladesh.

Genitourinary fistula is a psychophysiosocial distress that results in prolonged labour. Gradually, it has become a public health issue globally with advancing of its incidence day by day. A handsome number of mothers are also suffering in Bangladesh from genitourinary fistula. Read More

Female Pelvic Med Reconstr Surg 2019 Feb 8. Epub 2019 Feb 8.

Objective: The aim of the study was to investigate dietary modification strategies used by community-dwelling older women to manage their fecal incontinence (FI).

Methods: We conducted a qualitative study with focus groups wherein women 65 years and older with FI shared their experiences managing the condition. We explored the following: (1) association between diet and FI symptoms, (2) dietary strategies and modifications used by older women to manage FI, and (3) patient input about disseminating diet modification information and strategies. Read More

Arch Esp Urol 2019 Jan;72(1):45-53

Hospital Materno Infantil Teresa Herrera. A Coruña. España.

Objectives: Between 7-10% of schoolagechildren are seen by specialists for non-neurogeniclower urinary tract dysfunction (LUTD). The objective ofour study is to classify these functional alterations in difused for the diagnosis and treatment in each pattern.

Material And Methods: We reviewed patients referredto our Urodynamic Unit for suspected LUTD for3 years; We reviewed epidemiological data, supplementarytest and treatments. Read More

Asian J Surg 2019 Feb 6. Epub 2019 Feb 6.

General surgery department, Cairo University, Egypt.

Perianal sepsis and fistula is a troublesome disease in the field of colorectal surgery in term of recurrence and fecal incontinence. The aim of our study is to evaluate the role of 'one stage complex anal fistula excision with reconstruction of anal sphincter without stool diversion' regarding fecal incontinence and recurrence. This was prospective cohort study on 175 patients of complex high peri-anal fistulae, the patients were subjected to fistulectomy and reconstruction (primary suture repair) of anal sphincter without stool diversion, the patients were followed up 1 year postoperatively after complete healing of the wound regarding their continence to stool and gases using Wexner score and recurrence of the fistula which is examined clinically and radio-logically using MRI. Read More

Female Pelvic Med Reconstr Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Neurology, Dartmouth-Hitchcock, Manchester.

Objective: Neurologic injury after sacral nerve stimulation (SNS) is rare, but the incidence is unknown. Infection is a potential mechanism for neurologic damage. This report illustrates the presentation, pathophysiology, diagnostic considerations, and treatment of epidural infection causing neurologic deficits after SNS. Read More

Curr Sports Med Rep 2019 Feb;18(2):49-52

Department of Pediatrics and Sports Medicine Institute, University of Miami School of Medicine, Miami, FL.

Pelvic floor dysfunction (PFD) is a term used to describe a variety of disorders involving moderate to severe impairment of the pelvic floor muscles. It can be divided into two broad categories. Relaxing PFD is more common, presenting with urinary incontinence, fecal incontinence, or pelvic organ prolapse. Read More

Wound Manag Prev 2019 Jan;65(1):20-27

Ege University İzmir, Turkey.

Research related to the design and development of new incontinence containment products for women is scarce.

Purpose: The purpose of this 2-part study was to 1) develop a new incontinence containment product for fecal incontinence and 2) examine the effect of this new product on the occurrence of incontinence-associated dermatitis (IAD).

Methods: In part 1, a new incontinence containment product was designed, developed, and trialed among 10 healthy female volunteers. Read More

Climacteric 2019 Feb;22(1):60-64

a Division of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine , University of Pisa , Pisa , Italy.

Pelvic floor dysfunctions are a complex condition in elderly women; pelvic organ prolapse, urinary or fecal incontinence, constipation, pelvic pain, and sexual dysfunction are common problems. The goal of surgical treatment is functional reconstruction with symptom management and repair of anatomic defects. The recent advancements in surgical treatment of pelvic floor dysfunction allow several good options for choosing the best surgery for each patient. Read More

MMW Fortschr Med 2019 02;161(2):42-45

Geriatrische Fachklinik Georgenhaus, Ernsstraße 7, D-98617, Meiningen, Deutschland.

J Minim Invasive Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil. Electronic address:

Objective: to determine the effect of bariatric surgery (BS) on the prevalence of pelvic floor dysfunctions (PFD), specifically on urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI) DATA SOURCES: a systematic review (PROSPERO registration CRD42017068452) with literature search was performed using PubMed, Scopus and Scielo databases for all publications related to BS and PFD, with no language restrictions from inception to September 2018.

Methods Of Study Selection: two authors screened for study eligibility and extracted data. Only prospective cohorts assessing women with morbid obesity and the prevalence of PFD before and after bariatric surgery in multiple academic and private centers were included. Read More

Int J Colorectal Dis 2019 Jan 31. Epub 2019 Jan 31.

Gastroenterology Department, North Hospital, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Marseille, France.

Background: The aim of the study was to describe the results of 3D high-resolution anorectal manometry (3DHRAM) in a large cohort of patients with functional anorectal disorders.

Methods: In this single-center retrospective study, all consecutive patients referred for investigation of fecal incontinence (FI) or dyssynergic defecation (DD) underwent 3DHRAM. The parameters analyzed were usual manometric data, repartition of dyssynergic patterns, and the prevalence of a new "muscular subtype classification" underlying dyssynergia, anal sphincter defects, and pelvic floor disorders. Read More

Neurogastroenterol Motil 2019 Jan 31:e13552. Epub 2019 Jan 31.

Department of Gastroenterology, Royal North Shore Hospital, University of Sydney, Sydney, New South Wales, Australia.

Background: Anorectal manometry (ARM) and balloon expulsion test (BET) are pivotal in investigation of anorectal disorders. There is controversy, however, about normal values and optimum methodology for performing these tests. Our aims were to compare BET using three different balloons and to establish normal values for ARM and BET in health. Read More

Colorectal Dis 2019 Jan 31. Epub 2019 Jan 31.

Consultant Colorectal Surgeon, Healing Hands Clinic, Pune, INDIA.

Rectal prolapse, defined as the protrusion of the rectum from the anal canal, is a severe problem suffered sometimes by children and frequently by the elderly. Full-thickness rectal prolapse is the protrusion of the rectum beyond the anal canal. Although a benign condition, it impairs quality of life due to the prolapse itself and also because of the associated symptoms such as urinary, flatus, and/or faecal incontinence. Read More

Acta Oncol 2019 Jan 30:1-6. Epub 2019 Jan 30.

a Danish Cancer Society Centre for Research on Survivorship and Late Adverse Effects After Cancer in the Pelvic Organs , Aarhus University Hospital , Aarhus , Denmark.

Background: Chronic gastrointestinal symptoms are common among patients surviving surgery and/or radio-/chemotherapy for cancer in the pelvic organs. However, little is known about the pathophysiology behind symptoms or the effect of treatment. The aim of the present study was to present the results of clinical evaluation and treatment of patients with chronic bowel symptoms after treatment for cancer in the colon or pelvic organs. Read More

J Matern Fetal Neonatal Med 2019 Jan 29:1-5. Epub 2019 Jan 29.

a Department of Obstetrics and Gynaecology , Our Lady of Lourdes Hospital , Drogheda , Ireland.

Objective: Shoulder dystocia is an obstetric emergency, occurring in 0.2-3% of vaginal deliveries. Research has mainly focused on the neonatal morbidity arising from shoulder dystocia, such as brachial plexus injury and hypoxic-ischemic encephalopathy. Read More

Gan To Kagaku Ryoho 2018 Dec;45(13):1889-1891

Dept. of Gastroenterological Surgery, Higashiosaka City Medical Center.

A 73-year-old man was admitted to our hospital with anal pain. The 10 cm tumor was observed externally at the 3 o' clock side of his anus. He was unable to maintain the sitting position because of pain and had fecal incontinence and erosive skin inflammation. Read More

J Surg Res 2019 Mar 26;235:536-542. Epub 2018 Nov 26.

General Surgery Department, Colorectal Surgery Unit, Mansoura University Hospitals, Mansoura University, Mansoura City, Egypt.

Background: Treatment of complex anal fistula (CAF) can be associated with high rates of recurrence and fecal incontinence (FI). Park suggested drainage of the affected intersphincteric anal gland for treatment of cryptoglandular anal fistula; however, recurrence after this technique was high. We modified the original Park's technique by extending the internal sphincterotomy to ensure adequate drainage of the intersphincteric space. Read More

Gastroenterol Nurs 2019 Jan/Feb;42(1):12-19

Lena Aadal, PhD, is Head of Clinical Nursing Research, Hammel Neurorehabilitation and Research Centre, Denmark. Jesper Mortensen, PhD, Hammel Neurorehabilitation and Research Centre, Denmark. Simone Kellenberger, RN, is Education and Development Nurse, Hammel Neurorehabilitation and Research Centre, Denmark. Jørgen Feldbæk Nielsen, MD, DMSc, is Professor, Hammel Neurore habilitation and Research Centre, Denmark.

The aim of this prospective, descriptive cohort study is to describe the prevalence of lower bowel dysfunction, possible relationship to diagnosis and severity, use of laxatives, and defecation patterns in patients with acquired brain injury during inpatient rehabilitation. Enrollment consisted of all patients admitted to an inpatient rehabilitation hospital (n = 98) within a 3-month period and assessments of fecal incontinence and fecal constipation at admission were performed. Documentation of used laxatives, number of defecations, and the macroscopic form during 4 weeks was conducted. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Mar 18;234:126-130. Epub 2019 Jan 18.

2nd Department of Gynecology Medical University of Lublin, Jaczewskiego St. 8, 20-954, Lublin, Poland.

Urinary incontinence, fecal incontinence and pelvic organ prolapse are one of the most prevalent gynaecological conditions and constitute a huge global problem affecting approximately 20% of women, increasing with age. Pelvic floor disorders can have negative influence on women's quality of life, decreasing social, psychological, occupational, physical and sexual well-being. Pelvic organ prolapse results in anatomical changes to the urogenital tract and it is perceived to be one of the main factor influencing sexual function. Read More

Neurogastroenterol Motil 2019 Jan 24:e13537. Epub 2019 Jan 24.

Division of Gastroenterology, Department of Medicine and Department of Biomedical Engineering, University of California San Diego ACTRI, La Jolla, California.

Introduction: The current "gold standard" to diagnose anal sphincter morphology and disruptions utilizes low-frequency (3-9 MHz) ultrasound (US) imaging techniques that provide a general outline of the sphincter muscles, but not their microstructural details. High-frequency US transducers (7-15 MHz) have been used to study the muscle architecture (direction of muscle fascicles) in the limb muscle.

Aims: The goal of our study was to visualize the microstructural anatomy of the anal sphincters, specifically the external anal sphincter (EAS), using high-frequency US imaging. Read More

Cent European J Urol 2018 27;71(4):448-452. Epub 2018 Dec 27.

FA für Gynäkologie, Geburtshilfe und Chirurgie, Akademisches Lehrkrankenhaus, Feldkirch, Austria.

Introduction: Current thinking is that chronic pelvic pain of unknown origin (CPPU) is poorly understood and its treatment is empirical and ineffective. According to the Integral Theory System (ITS), however, CPPU is secondary to uterosacral ligament (USL) laxity which is associated with bladder and bowel symptoms and all are potentially curable by surgical reinforcement of USLs.

Material And Methods: We applied the ITS to anatomically explain the pathogenesis and cure of these conditions. Read More

Int Wound J 2019 Jan 22. Epub 2019 Jan 22.

Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Queensland, Australia.

The aim of this study was to assess the prevalence, incidence, and the associated factors of pressure injuries (PIs) among immobile hospitalised patients in China. Being immobile during hospitalisation put these patients at a higher risk of PIs. There is little literature about pressure injury (PI) prevalence or PI incidence in immobile hospitalised patients in hospitals in China. Read More

Turk J Urol 2019 Jan 1;45(1):37-41. Epub 2019 Jan 1.

Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA, USA.

Objective: The prevalence of fecal incontinence (FI) is 8% in the United States. Many patients will not seek treatment and the condition is underdiagnosed. Sacral neuromodulation (SNM) is effective in treating FI, and so urologists can play a key role in its treatment. Read More

Scand J Gastroenterol 2018 Dec 22;53(12):1476-1483. Epub 2019 Jan 22.

b Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London , London , United Kingdom.

Objective: Prevalence of faecal incontinence is greater in patients with inflammatory bowel disease than in the general population. It is a major concern for patients with inflammatory bowel disease, even when disease is in remission. It is underreported and negatively affects quality of life. Read More

Neurogastroenterol Motil 2019 Jan 22:e13536. Epub 2019 Jan 22.

School of Medicine, University College Dublin, Dublin, Ireland.

Background: The rat has served usefully as a model for fecal incontinence and exploration of the mechanism of action of sacral neuromodulation (SNM). There remains a deficit in information regarding the location and type of spinal neurons which receive anorectal input and the effect of SNM on those neurons.

Methods: Single neuronal extracellular recordings of neurons receiving anorectal input were made at the S1 level of the spinal cord using sharp glass electrodes. Read More

Br J Surg 2019 Jan 17. Epub 2019 Jan 17.

Division of Paediatric Surgery, Department of Surgery, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.

Background: It is unclear whether functional outcomes improve or deteriorate with age following surgery for Hirschsprung's disease. The aim of this cross-sectional study was to determine the long-term functional outcomes and quality of life (QoL) in patients with Hirschsprung's disease.

Methods: Patients with pathologically proven Hirschsprung's disease older than 7 years were included. Read More

Eur J Pediatr Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Paediatric Surgery, Addenbrooke's Hospital, Cambridge, United Kingdom.

Background:  Neuromodulation is the application of electrical stimulation on nerve fibers to modulate the neuronal activity. Its use for chronic constipation and fecal incontinence has increased in popularity over the past few years. Invasive and noninvasive techniques are currently available. Read More

J Neurogastroenterol Motil 2019 Jan;25(1):159-170

Department of General, Visceral, Endocrine and Transplantation Surgery, Kantonsspital St. Gallen, Switzerland.

Background/aims: The aim of this study was to evaluate the sustainability of sacral neuromodulation (SNM) success in patients with fecal incontinence (FI) and/or constipation.

Methods: This is a retrospective analysis of a prospective database of patients who received SNM therapy for FI and/or constipation between 2006 and 2015. Success rates, complications and reintervention rates were assessed after up to 10 years of follow-up. Read More

Acta Chir Belg 2019 Feb 15;119(1):1-15. Epub 2019 Jan 15.

d Department of Colorectal Surgery , Singapore General Hospital , Singapore , Singapore.

Aim: To perform a review of the literature reporting on randomised controlled trials (RCTs) comparing treatments for faecal incontinence (FI) in adults.

Methods: A literature search of MEDLINE, Embase, Science Citation Index Expanded and Cochrane was performed in order to identify RCTs reporting on treatments for FI.

Results: The review included 60 RCTs reporting on 4838 patients with a mean age ranging from 36. Read More

Int J Environ Res Public Health 2019 Jan 11;16(2). Epub 2019 Jan 11.

Frailty Service, Department of Geriatric and Stroke Medicine, University Hospital Galway, Newcastle Rd, Galway City H91 YR71, Ireland.

Incontinence is common and associated with adverse outcomes. There are insufficient point prevalence data for incontinence in hospitals. We evaluated the prevalence of urinary (UI) and faecal incontinence (FI) and their predictors among inpatients in an acute university hospital on a single day. Read More

Dis Colon Rectum 2019 Feb;62(2):137-138

San Diego, California.

Neurogastroenterol Motil 2019 Mar 13;31(3):e13532. Epub 2019 Jan 13.

National Bowel Research Centre and GI Physiology Unit, Blizard Institute, Centre for Surgery & Trauma, Queen Mary University of London, London, UK.

Background: Using high-resolution anorectal manometry, we aimed to evaluate the: (a) optimal threshold to measure functional anal canal length (FACL) with intra- and inter-observer variability; (b) relationship between abnormal FACL and other phenotypic findings; and (c) utility of FACL measurement to discriminate between healthy volunteers (HV) and patients with fecal incontinence (FI) or chronic constipation (CC).

Methods: Consecutive patients referred for investigation of FI or CC in isolation were included. FACL was calculated at 5, 10, 20, 30, and 50 mm Hg above rectal pressure. Read More

J Autism Dev Disord 2019 Jan 12. Epub 2019 Jan 12.

Department of Child and Adolescent Psychiatry, Saarland University Hospital, 66421, Homburg, Germany.

Incontinence, psychological symptoms, parental stress and psychopathology were examined in 51 children (43 boys, mean age = 9.7 years) presented in an outpatient clinic for autism spectrum disorders (ASD) and in 53 matched controls (43 boys, mean age = 10.2 years). Read More

Int J Colorectal Dis 2019 Jan 11. Epub 2019 Jan 11.

The Sir Alan Parks Department of Physiology, St Mark's Hospital and Academic Institute, Watford Road, Harrow, HA1 3UJ, UK.

Aim: Faecal incontinence and constipation are common conditions which may adversely affect quality of life. They may have an adverse effect on sexual function.

Method: This review of the published literature aimed to assess the published evidence. Read More

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of General Surgery, Christian Medical College, Vellore, Tamilnadu, India.

Introduction: Anal incontinence brings lot of social embarrassment, mental distress, dignity loss, anxiety, low confidence, and eventually a low self-esteem with a restricted social life to the affected person. Surgical repair is the mainstay of treatment for anal incontinence. However, some patients need additional procedures such as gluteoplasty, graciloplasty (adynamic and dynamic), artificial bowel sphincter, and sacral nerve stimulation, which help to reinforce or augment the anal sphincter. Read More

Tech Coloproctol 2019 Jan 10. Epub 2019 Jan 10.

Gastrointestinal Unit, Department of General Surgery, University of Pisa, Pisa, Italy.

Pelvic floor rehabilitation is frequently recommended for defecation disorders, in both constipation and fecal incontinence. However, the lack of patient selection, together with the variety of rehabilitation methods and protocols, often jeopardize the results of this approach, causing difficulty in evaluating outcomes and addressing proper management, and above all, in obtaining scientific evidence for the efficacy of these methods for specific indications. The authors represent different gastroenterological and surgical scientific societies in Italy, and their aim was to identify the indications and agree on treatment protocols for pelvic floor rehabilitation of patients with defecation disorders. Read More

Rev Med Suisse 2019 Jan;15(N° 632-633):31-33

Service de chirurgie viscérale, CHUV, 1011 Lausanne.

Surgical management of oncologic situations in visceral surgery is increasing. Overall survival and related quality of life are improved, due to enhanced perioperative care, improvement in strategies like surgical technique and oncological therapy. Functional disorders, whether or not related to oncologic disease, are not to be forgotten. Read More

Colorectal Dis 2019 Jan 9. Epub 2019 Jan 9.

Department of Surgery and Colorectal Surgery, Maastricht University Medical Center +, Maastricht, The Netherlands.

Aim: There is considerable heterogeneity in outcomes in studies reporting on the treatment of haemorrhoidal disease (HD). The aim of this study was to develop a Core Outcome Set (COS) for HD in cooperation with the European Society of Coloproctology.

Method: A Delphi study was performed according to the Outcome Measures in Rheumatology (OMERACT) methodology. Read More

Prog Urol 2019 Jan 5. Epub 2019 Jan 5.

Groupe de recherche appliquée à la pathologie pelvi-périnéale des personnes âgées (GRAPPPA), 75020 Paris, France.

Introduction: The present article is the final report of a multi-disciplinary meeting supported by the GRAPPPA (group for research applied to pelvic floor dysfunctions in the elderly). The objective was to conduct a comprehensive review on the role of botulinum toxin A (BonTA) in the treatment of pelvic floor dysfunctions in the elderly.

Methods: The present article, written as a comprehensive review of the literature, combines data issued from the scientific literature with expert's opinions. Read More

J Sex Med 2019 Jan;16(1):96-110

EA 3694 Human Fertility Research Group, Université Paul Sabatier Toulouse 3-CHU Toulouse Paule de Viguier, Reproductive Medicine Department, Toulouse, France; French Education and Research Group in Andrology, Urology and Sexology (GEFRAUS), CHU Toulouse Paule de Viguier, Reproductive Medicine Department, Toulouse, France; Francophone Association for Supportive Care (AFSOS), Bègles, France.

Background: Colorectal cancer (CRC) is accompanied by specific treatment-related physical (ostomy, incontinence) and psychosexual (body image, depression) consequences on sexual health.

Aim: To assess sexual health of patients with CRC 2 years after diagnosis.

Methods: We selected all patients with CRC from a French nationwide longitudinal study. Read More

Minerva Chir 2019 Jan 4. Epub 2019 Jan 4.

Departement of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy -

Background: The causes of obstructed defecation syndrome (ODS) can actually be either functional or mechanical (primary or secondary deficit of the sensitivity, slow bowel transit, pelvic floor dyssynergia, internal and external rectal prolapse, recto-anal intussusceptions, anterior or posterior rectocele and pelvic prolapse of the bladder, uterus, bowel or sigma). The aim of our study was evaluate the safety, efficacy and feasibility of Transanal Rectal Resection (STARR) procedure performed by a single or double stapler through clinical and functional outcomes for transanal stapled surgery.

Methods: From January 2016 to October 2017, ninety patients with ODS secondary to rectal prolapse, anal-rectal intussusception and anterior rectocele, that underwent to a STARR procedures were enrolled. Read More