Funkcionális proktológia a Pécsi Tudományegyetemen.

Translated title of the contribution: [Functional proctology at the University of Pécs].

Katalin Kalmár, József Baracs, Anita Illés, József Czimmer, Csaba Weninger, O. Horvath

Research output: Contribution to journalArticle

Abstract

Functional proctological investigations have been introduced at Pécs University of Sciences 15 years ago. The Pelvic Floor Multidisciplinary Team has been re-launched after many years of pause in 2010. Experience of the team in the treatment of faecal incontinence and obstructed defecation syndrome is discussed. In the past 3 years 9 patients underwent sphincter reconstruction for faecal incontinence. The Pelvic Floor Team in the past 1.5 year consulted 31 patients with constipation, who were considered by the referee for surgical intervention. Following investigations 10 patients underwent surgery, the rest of them were treated conservatively. Seven patients underwent perineal reconstruction with mesh, three patients had ventral rectopexy with additional levatoro-pexy. 78% of patients operated on for faecal incontinence reported full continence, 88% improvement. We invented a new symptom score with a maximum of 20 points to evaluate results of treatment of patients with Obstructed Defecation Syndrome. Patients who underwent perineal repair were interviewed pre and postoperatively. They scored 14 ± 2.83 and 5.4 ± 4.62 points, respectively (p = 0.0075). Functional proctological patients require a specialist approach from history taking through investigation to treatment. Majority of patients benefit from conservative treatment. Adequate patient selection is essential for successful surgical treatment. Symptom scores applied pre and postoperatively facilitate proper patient selection for various surgical methods.

Original languageHungarian
Pages (from-to)370-379
Number of pages10
JournalMagyar sebészet
Volume65
Issue number5
Publication statusPublished - Oct 2012

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Colorectal Surgery
Fecal Incontinence
Pelvic Floor
Defecation
Patient Selection
Constipation
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kalmár, K., Baracs, J., Illés, A., Czimmer, J., Weninger, C., & Horvath, O. (2012). Funkcionális proktológia a Pécsi Tudományegyetemen. Magyar sebészet, 65(5), 370-379.

Funkcionális proktológia a Pécsi Tudományegyetemen. / Kalmár, Katalin; Baracs, József; Illés, Anita; Czimmer, József; Weninger, Csaba; Horvath, O.

In: Magyar sebészet, Vol. 65, No. 5, 10.2012, p. 370-379.

Research output: Contribution to journalArticle

Kalmár, K, Baracs, J, Illés, A, Czimmer, J, Weninger, C & Horvath, O 2012, 'Funkcionális proktológia a Pécsi Tudományegyetemen.', Magyar sebészet, vol. 65, no. 5, pp. 370-379.
Kalmár K, Baracs J, Illés A, Czimmer J, Weninger C, Horvath O. Funkcionális proktológia a Pécsi Tudományegyetemen. Magyar sebészet. 2012 Oct;65(5):370-379.
Kalmár, Katalin ; Baracs, József ; Illés, Anita ; Czimmer, József ; Weninger, Csaba ; Horvath, O. / Funkcionális proktológia a Pécsi Tudományegyetemen. In: Magyar sebészet. 2012 ; Vol. 65, No. 5. pp. 370-379.
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