Surgical Treatment of Anal Incontinence after Cure of a Post-Partum Recto Vaginal Fistula: A Case Report from the "A" Surgery Department of the IBN Sina Hospital in Rabat, Morocco
Published: 2023-09-25
Page: 251-255
Issue: 2023 - Volume 6 [Issue 2]
Condé A. Y. *
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
El Mouatassim Z.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Ouhammou Y.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Djogbe M.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Mkira O.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Hamzaoui J.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Belouch M.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Bahadi O.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Zahraoui A.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Asatach Y.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Pr. El Malki H. O.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Pr. Belkouchi A.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
Pr. Ifrine L.
Department of Surgery, Faculty of Medicine and Pharmacy, Ibn Sina Hospital, Mohamed V University Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Anal incontinence is defined as the repeated involuntary loss of rectal contents (solid or liquid faeces, gas or mucus and phlegm) in patients over the age of 3 years who have been incontinent for at least 1 month. In women, the most common cause is obstetric trauma. Diagnosis is based on endoanal ultrasound and anorectal manometry.
We report the case of a 48-year-old woman who underwent surgery for a recurrent rectovaginal fistula and developed postoperative anal incontinence. The diagnosis was made by endorectal manometry. We performed anterior sphincterography, which was enhanced by bringing the anal sphincter muscles closer together, with a simple post-operative follow-up. Despite the fact that this condition is considered shameful, it is still necessary to consult a specialist in order to obtain the best possible treatment and a better quality of life.
Keywords: Anal incontinence, postpartum, a taboo subject, manometry, sphincterorrhaphy