Abstract
Three adult women with previously unoperated vulvar anus underwent surgical treatment for faecal incontinence which developed in adulthood. The obvious cause of incontinence in these patients was the weakening of pelvic floor musculature by aging and pregnancy. Two of the patients had several associated anomalies. The anus was transposed to the normal perineal position through the well-developed external sphincter found posterior to the vulvar anus. Faecal continence improved markedly in all patients.
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Stephens FD, Smith ED (1971) Ano-rectal malformations in children. Year Book Medical Publishers, Chicago London, pp 107–108
Penninckx F, Kerremans R (1986) Internal sphincter saving in imperforate anus with or without fistula. A manometric study. Int J Colorect Dis 1:28–32
Rintala R, Lindahl H, Louhimo I (1986) VATER association and anorectal malformations. Z Kinderchir 41:22–26
Templeton JM, O'Neill JA (1986) Anorectal malformations. In: Welch KJ, Randolph JG, Ravitch MM, O'Neill JA, Rowe MI (eds) Pediatric surgery, 4th edn. Year Book Medical Publishers, Chicago London, pp 1027–1029
Snooks SJ, Swash M, Henry MM, Setchell M (1986) Risk factors in childbirth causing damage to the pelvic floor innervation. Int J Colorect Dis 1:20–24
Scott JES, Swenson O (1959) Imperforate anus, results in 63 cases and some anatomical considerations. Ann Surg 150:477
Katz LD, Zinkin LD, Stonesifer GL, Rosin JD (1978) Imperforate anus and ectopic orifices in adult patients. Dis Col Rect 21:633–635
Pescatori M, Vulpio C, Castiglioni GC (1986) Congenital anovulvar fistula in a 30-year-old woman. Br J Surg 73:161
Keighley MRB (1986) Re-routing procedures for ectopic anus in the adult. Br J Surg 73:974–977
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Rintala, R., Luukkonen, P. & Järvinen, H.J. Surgical repair of vulvar anus in adults. Int J Colorect Dis 4, 244–246 (1989). https://doi.org/10.1007/BF01644990
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DOI: https://doi.org/10.1007/BF01644990