Clinical Outcomes after Delorme�s Procedure for Obstructed Defecation Syndrome

Alvandipour, Mina and Sayadi, Sohrab and Abdolalian, Younes and YazdaniCharati, Jamshi (2014) Clinical Outcomes after Delorme�s Procedure for Obstructed Defecation Syndrome. Journal of Mazandaran University of Medical Sciences, 24 (115). pp. 154-161.

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Background and purpose: Obstructive defecation syndrome (ODS) is a common dysfunction that affects adult female population. The Delorme�s procedure is a perineal approach for obstructed defecation syndrome. This study was designed to investigate the clinical outcomes after Delorme�s procedure for obstructed defecation syndrome. Material and methods: The study was carried out between June 2012 to October 2013 in which 22 patients with obstructed defecation syndrome had undergone Delorme�s procedure. Functional scores were measured and compared with preoperative scores. Results: The mean age of the patients was 51.1±16 years. The mean follow-up period was 10.6 months. The mean of longo score was 15.2±6.3 before the procedure and 3.1±2.9 after the procedure, which revealed statistically significant difference (P<0.0001). The mean of incontinence score was 3.3 and 0.9 before and after the Delorme�s procedure, respectively (P=0.002). Wexner constipation score revealed significant improvement after the surgery (11.3±5.2 before the surgery vs. 3.3±2.8 after the surgery P<0.0001). The mean of satisfaction score was 7.7±2. Conclusion: The Delorme�s procedure is a perineal technique that resolves obstructed defecation syndrome and is a low-risk surgery with less morbidity. The procedure is associated with a marked improvement in anal continence, relatively low relapse rates, and a low incidence of postoperative constipation. This shows that this procedure could be very beneficial in selected patients.

Item Type: Article
Uncontrolled Keywords: Obstructed defecation syndrome, Delorme�s procedure, ODS score, Wexner score
Depositing User: Unnamed user with email
Date Deposited: 04 Jan 2018 11:43
Last Modified: 04 Jan 2018 11:43

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