BACKGROUND: Obstructed defaecation and @entity322 are complex functional disorders that pose management challenges. In recent times, the antegrade continence enema (ACE) has been tried both as a primary procedure and as a final resort to avoid a colostomy in @entity1 with a variety of functional problems. The purpose of this study was to evaluate the role of the ACE procedure as a treatment option for adult @entity1 suffering from obstructed defaecation with or without @entity322 , some of whom also had slow transit @entity1142 . METHODS: Twenty female @entity1 underwent ACE as an appendicostomy (65%) or caecostomy (35%). The median age was 44 years (range, 20-65 years). The indications were obstructed defaecation with @entity322 (65%) and obstructed defaecation alone (35%). Fifteen of these @entity1 were followed for 3-51 months (median, 6 months). Cleveland continence score, bowel score and quality of life score were recorded pre- and postoperatively along with post-procedure complications. RESULTS: Thirteen (65%) @entity1 were satisfied with the outcome and recorded improvement in their scores while two (10%) remained the same and one (5%) was worse. This latter @entity1 and another @entity1 stopped using their ACE, whilst follow-up data was unavailable for three @entity1 . @entity2737 were noted in nine @entity1 (45%), of whom one needed drainage of an abscess; the rest settled with antibiotics and dressings. Bowel and Cleveland continence scores improved postoperatively (p<0.001 and p=0.001, respectively) but SF36 scores did not. To date, no @entity1 has had a colostomy following an ACE procedure. CONCLUSIONS: Colostomies can be avoided in @entity1 with obstructed defaecation. There is, however, a need to minimise wound @entity281 which seem to be the most troublesome complication.

Antegrade continence enema in the treatment of obstructed defaecation with or without XXXX .

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity322 :: ('MESH:D014549', 'Disease') :: ['faecal incontinence'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['Minor wound infections'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections'] @entity1142 :: ('MESH:D003248', 'Disease') :: ['constipation']
@entity322 :: (MESH:D014549,Disease) :: ['faecal incontinence']
