ISSN: 1859 - 2872
Quality of life in patients after surgical treatment for anal fistula
Main Article Content
Keywords
Abstract
Objective: The aim of this study was to assess quality of life in patient after surgical treatment for anal fistula. Subject and method: A cross-sectional descriptive study on 156 patients who had undergone anal fistula surgery in Viet Duc Friendship Hospital from January 1, 2019 to September 30, 2019. Patients were interviewed by the Short Form 36 questionnaire (SF36) and Wexner incontinence grading scale at 2 weeks and 4 weeks after surgical treatment for anal fistula. Result: 156 patients were interviewed, 137 (87.8%) male, 19 (12.2%) females with a median age 37 (range 13 - 69) years old. The overall average physical health score increased from 30.63% to 75.18%. The proportion of patients with low physical health scores had decreased from 89.7% to 9.6%. In contrast, the high level of physical health score increased from 10.3% to 90.4% (p<0.0001). 29 (18.6%) post-operative anal incontinence. Anal incontinence was factor affecting the quality of life of patients in both two times interview (OR first interview = 4.54; OR second interview = 4.99). Conclusion: Surgical intervention on patients with anal fistula resulted in affected quality of life. Anal incontinence complication is a risk factor.
Article Details
References
2. Shouler PJ GR, Keighley MR, Alexander-Williams J (1986) Fistula-in-ano is usually simple to manage surgically. Int J Colorectal Dis 1: 113-115.
3. Garcia-Aguilar J DC, Le CT, Lowry AC, Rothen- berger DA ( 2000) Patient satisfaction after surgical treatment for fistula-in-ano. Dis Colon Rectum 43: 1206-1212.
4. Schouten WR ZD, Briel JW (1999) Transanal advancement flap repair of transsphincteric fistulas. Dis Colon Rectum 42: 1419-1422.
5. Yassin NA HT, Lunniss PJ, Phillips RK (2013) Ligation of the intersphincteric fistula tract in the management of anal fistula. A systematic review. Colorectal Dis 15: 527-535.
6. Mereno PM (2011) Video-assisted anal fistula treatment (VAAFT): A novel sphincter-saving procedure for treating complex anal fistulas. Tech Coloproctol 15: 417-422.
7. Ahmed A, Abou-Zeid AE-A (2015) Short Form 36 quality of life after lay open of anal fistula. The Egyptian Journal of Surgery 34: 281-286.
8. HA Owen GB, Schizas A, Cohen R, Williams AB (2016) Quality of life with anal fistula. Ann R Coll Surg Engl 98: 334-338.
9. Schouten WR, van Vroonhoven TJ (1991) Treatment of anorectal abscess with or without primary fistulectomy. Results of a prospective randomized trial. Dis Colon Rectum 34(1): 60-63.
10. Pescatori M AS, Cafaro D, Iannello A, Magrini (2006) Marsupialization of fistulotomy and fistulectomy wounds improves healing and decreases bleeding: A randomized con- trolled trial. Colorectal Dis 8(1): 11-14.
11. Riss SSK, Mittlböck M, Pones M, Vogelsang H, Reinisch W, Riedl M, Stift A (2013) Sexual function and quality of life after surgical treatment for anal fistulas in Crohn's disease. Tech Coloproctol 17(1): 89-94.
Article Sidebar
