Rectal Carcinoma Fecal incontinence C20 R15
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: patients with rectal carcinoma who underwent anterior or low anterior resection in Aagatharied Hospital between 1999 and 2017 Fecal Incontinence after Parks (I-III) Total mesorectal Excision in patients with low and middle rectal cancer ( 0-6 and 6-12 cm from the anal verge) or partial mesorectal excision in patients with rectal carcinom 12-16cm from the anal verge. Earliest time for evalutation:6 weeks after last surgery Loop ileostomy has to have been reversed The Patient has to be able to cognitive and physically perform Biofeedback und middle frequent electrostimulation therapy.
Exclusion criteria
Exclusion criteria: Participation in another interventionel study Patients with local recurrence or Progress of the cancer Patients with vulnerable rectum mucosa, inflammatory changes or Stenosis in the rectum Patients under 18 Pregnancy Patients that are not mentally or physically capable of consenting to the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of fecal incontinence in the CCS Score (Fecal incontinence Score), measured 6 weeks, 3,6 and 12 months after beginn of therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| LARS Score ( Low anterior resection Syndrome Score) FiQuOL ( Fecal Incontinence Quality of Life) Anal manometry Tumor classification UICC Quality of TME (total mesorectal excision) Mercury Hight of anastomosis Complications of surgery ( Clavien Dindo ) Time between surgery and begin of therapy Neoadjuvant Radiochemotherapy | — |
Countries
Germany
Contacts
Allgemein-, Viszeral-, GefässchirurgieKrankenhaus Agatharied