Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 499

Anterior sphincteroplasty can be very successful and is the operation of choice when an isolated sphincter defect is present.⁶⁴ Reported rates of continence post‐surgery range from 50 to 90%, with the majority of studies being small‐scale case series, often in relatively young people. The International Continence Society concludes that

Anal sphincteroplasty should be considered in symptomatic patients with a defined defect in the external anal sphincter. Overlapping EAS repair is usually performed. Results appear to deteriorate with time. Redo sphincter repair may be feasible in patients with a poor continence outcome.⁵⁴

The evidence for sphincteroplasty in older adults is lacking, particularly in those with frailty. A case series in 2006 involving 66 women undergoing surgery at a mean age of 62.8 found no association between age and result, with three‐quarters of participants reporting improvement.⁶⁵