The American Journal of Digestive Diseases

, Volume 21, Issue 2, pp 35–37 | Cite as

Anal incontinence—Prophylactic and therapeutic considerations

  • Robert I. Hiller


Anal continence is ultimately dependent upon the integrity of the external anal sphincter and its nerve supply, both peripherally and centrally. Congenital sphincter weakness may exist and may be a factor in the subsequent development of procidentia and accompanying anal incontinence. Prophylactically, suggestions are offered to avoid anal incontinence. Results from the surgical treatment of anal incontinence leave much to be desired. They can be improved if sphincter injury is repaired without delay and procidentia is not permitted to produce permanent sphincter paralysis. The Rehn-Delorme operation for procidentia will be unsuccessful if sphincter control has been lost. The Stone modification of the Wreden operation for anal incontinence is worthy of trial if some measure of sphincter action is still evident.


Anal Sphincter External Anal Sphincter Anal Incontinence Nerve Supply Sphincter Injury 
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Copyright information

© Sandfield Publishing Company 1954

Authors and Affiliations

  • Robert I. Hiller
    • 1
  1. 1.Milwaukee

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