ReviewInternational journal of colorectal disease2008
Continence disorders after anal surgery--a relevant problem?
Review in International journal of colorectal disease, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02628522 (A Novel Method for Chronic Anal Fissure Treatment), which is not on this map. Cited by 35 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Novel Method for Chronic Anal Fissure Treatment: Adipose Derived Regenerative Cells - A Pilot Study
Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- The Italian Unitary Society of Colon-Proctology (Società Italiana Unitaria di Colonproctologia) guidelines for the management of acute and chronic hemorrhoidal disease.Annals of coloproctology · 2024Guideline
- German S3 guidelines: anal abscess and fistula (second revised version).Langenbeck's archives of surgery · 2017Pooled it
- Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review.Techniques in coloproctology · 2015Pooled it
- German S3 guideline: anal abscess.International journal of colorectal disease · 2012Guideline
- Cryptoglandular anal fistulas.Deutsches Arzteblatt international · 2011Guideline
- Anoreceptive Sexual Intercourse and Fecal Incontinence: A Cross-Sectional Survey.International urogynecology journal · 2026Article
- Fecal incontinence as a hidden disorder among adults aged over 50 years.BMC gastroenterology · 2026Article
- Female Trans-Sphincteric Anterior Anal Fistula: Still an Unsolved Problem-Results from a Nationwide Cohort Study.Journal of clinical medicine · 2025Article
- Surgical trainee education in benign anorectal disease: a scoping review.Surgery open science · 2025Review
- MRI of Recurrent Fistula-in-Ano: Is it Different from Treatment-Naïve Fistula-in-Ano and How Does it Correlate with Anal Sphincter Morphology?The Indian journal of radiology & imaging · 2023Article
- Faecal incontinence in adults.Nature reviews. Disease primers · 2022Review
- STAPLED HEMORRHOIDOPEXY: RESULTS, LATE COMPLICATIONS, AND DEGREE OF SATISFACTION AFTER 16 YEARS OF FOLLOW-UP.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022Article
- Pain relieving effect of music on patients during transrectal ultrasonography: A pilot study.Prostate international · 2021Article
- [Surgical reconstruction of traumatic sphincter muscle defects].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- Still a Case of "No Pain, No Gain"? An Updated and Critical Review of the Pathogenesis, Diagnosis, and Management Options for Hemorrhoids in 2020.Annals of coloproctology · 2020Review
- Fistulotomy and primary sphincteroplasty for anal fistula: long-term data on continence and patient satisfaction.Techniques in coloproctology · 2019Article
- Mucosal advancement flap for recurrent complex anal fistula: a repeatable procedure.International journal of colorectal disease · 2019Article
- Early outcomes of fluorescence angiography in the setting of endorectal mucosa advancement flaps.Techniques in coloproctology · 2018Article
- Video-assisted anal fistula treatment: a high volume unit initial experience.Annals of the Royal College of Surgeons of England · 2018Article
- Stapled hemorrhoidopexy: functional results, recurrence rate, and prognostic factors in a single center analysis.International journal of colorectal disease · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
subjectAnal incontinence is a well-known and feared complication following surgery involving the anal sphincter, particularly if partial transection of the sphincter is part of the surgical procedure.
methodsThe literature was reviewed to evaluate the risk of postoperative incontinence following anal dilatation, lateral sphincterotomy, surgery for haemorrhoidal disease and anal fistula.
resultsVarious degrees of anal incontinence are reported with frequencies as follows: anal dilatation 0-50%, lateral sphincterotomy 0-45%, haemorrhoidal surgery 0-28%, lay open technique of anal fistula 0-64% and plastic repair of fistula 0-43%. Results vary considerably depending on what definition of "incontinence" was applied. The most important risk factors for postoperative incontinence are female sex, advanced age, previous anorectal interventions, childbirth and type of anal surgery (sphincter division). Sphincter lesions have been reported following procedures as minimal as exploration of the anal canal via speculum.
conclusionsContinence disorders after anal surgery are not uncommon and the result of the additive effect of various factors. Certain risk factors should be considered before choosing the operative procedure. Since options for surgical repair of postoperative incontinence disorders are limited, careful indications and minimal trauma to the anal sphincter are mandatory in anal surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.