Neurostimulation for fecal incontinence after correction of repair of imperforate anus

作     者：Alexandre Bougie Nathalie McFadden Sandeep Mayer Michel Lebel Ghislain Devroede 

作者机构：Surgery DepartmentCentre Hospitalier Universitaire de SherbrookeFaculté de MédecineUniversité de Sherbrooke Medicine DepartmentNeurologyCentre Hospitalier Universitaire de SherbrookeFaculté de MédecineUniversité de Sherbrooke 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2017年第5卷第3期

页      面：124-127页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Fecal incontinence Congenital malformation Neuromodulation Neurostimulation Imperforate anus 

摘      要：We are reporting the case of a 32-year-old female who had suffered from fecal incontinence(FI). She was born with an imperforate anus and a recto-vaginal fistula; she underwent repair at 6 mo of age. At 29 years of age, she was still fecally incontinent despite extensive pelvic floor reeducation. A magnetic resonance imaging and an anal electromyography were performed. Because her symptoms were considered to be probably due to extra-sphincteric implantation of the neo-anus, a redo was performed of the recto-neo-anal intra-sphincteric anastomosis. A neurostimulator device was subsequently implanted for persistent incontinence. Solid and liquid FI resolved, and her quality of life improved markedly. Combining surgery to correct the position of the neo-anus within the anal sphincter complex and neurostimulation could thus become a new approach in cases of refractory FI for patients with imperforate anus as a newborn. Follow-up into adulthood after pediatric imperforate anus surgery should be recommended for adult patients with persistent FI.