Comparison of Scores and Outcomes

Studies comparing different scores in the same study population are scarce. Ong and Beasley [21] compared 4 scoring methods in 37 patients who had undergone sacroperineal rectoplasty. Continence was scored as "good," "fair," and "poor" using two numerical (Kelly [15], Templeton and Ditesheim [33] and two qualitative scores (Kiesewetter and Chang [16], Wingspread - Stephens and Smith [31]). The Wingspread score was adapted to three categories for comparison pur-

Table 27.8 Method for assessment of outcome established in

Krickenbeck 2005 (patient age > 3 years, no therapy; Holschneider et al. [9])

Table 27.8 Method for assessment of outcome established in

Krickenbeck 2005 (patient age > 3 years, no therapy; Holschneider et al. [9])

1. Voluntary bowel movements

yes/no

Feeling of urge Capacity to verbalize Hold the bowel movement

2. Soiling

yes/no

Grade 1 Occasionally (once or twice per week) Grade 2 Every day, no social problem Grade 3 Constant, social problem

3. Constipation

yes/no

Grade 1 Manageable by changes in diet

Grade 2 Requires laxatives

Grade 3 Resistant to diet and laxatives

poses. The results differed considerably. The authors found "good" continence in approximately 30-70% of patients with high ARM, and "poor" continence in approximately 5-20%. The Templeton score assigned a higher score of fecal continence than the other three, with excellent concordance. In patients requiring revision after Stephens rectoplasty, the Templeton and Kelly scores, in contrast to the others, did not show incontinence in two and three patients, respectively [22].

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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