Fecal Incontinence Improves After Transvaginal Posterior Compartment Repair

Thursday, October 5, 2023

3:30 PM – 4:30 PM US PST

Location: B118

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Image Label: Table 1: Demographics and Clinical Presentation

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Image Label: Table 2: Postoperative Outcomes

Scientific Table Presenter(s)

Jersey B. Burns, MD

Resident Physician
Wake Forest School of Medicine
Winston-Salem, North Carolina, United States

Co-Author(s)

AE

Amr El Haraki, MD

Assistant Professor
Wake Forest School of Medicine
Winston-Salem, North Carolina, United States
JC

Jesseca Crawford, BS, MS

Graduate Student
Wake Forest School of Medicine
Winston-Salem, North Carolina, United States
CA

Candace Autry-Parker, MD (she/her/hers)

Assistant Professor, Urology
Atrium Health Wake Forest Baptist Health
Winston-Salem, North Carolina, United States

Disclosure(s):

Jersey B. Burns, MD: No financial relationships to disclose

Amr El Haraki, MD: No financial relationships to disclose

Jesseca Crawford, BS, MS: No financial relationships to disclose

Candace Autry-Parker, MD: Neomedic: Clinical Lecturer (Terminated, January 1, 2023)

We hypothesized that rectocele repair would significantly reduce FI symptoms and aimed to determine the rate of resolution or improvement of FI symptoms following rectocele repair. We performed a retrospective cohort study including 179 subjects with diagnosis of fecal incontinence who underwent transvaginal rectocele repair with or without sphincteroplasty. The primary outcome was resolution of FI symptoms at 6-weeks post-operatively. In the absence of sphincteroplasty, rectocele repair alone resulted in the majority of patients having resolution or significant improvement of fecal incontinence symptoms (84%). Improvement rates were similar to subjects undergoing concomitant anal sphincteroplasty. Anorectal manometric assessment of sphincter functional pressures were similar between groups suggesting that the mechanism for FI symptoms in women with rectocele may be independent of the anal sphincter complex.