Poster Abstracts

Aim: The aim of study was to review the results of overlapping sphincteroplasty in the treatment of anal incontinence after obstetric injury.Method: Patients with anal incontinence after obstetric trauma iterated in our unit were included in the study.Patients demographic data, anal, duration of incontinence, number of surgical operations were recorded.Pre-and postoperative incontinence scores (Cleveland Clinic _ Incontinence Score -CC _ IS) and faecal incontinence quality of life scores (FIQLI) were evaluated.Results: There were 42 patients in the study.The range of patient age was between 17 and 62 years old.Mean follow-up was -12.4 (3-24 month).Patients The mean number of deliveries was 2.1 (range 1-5).Seven patients had a history of previous unsuccessful surgery for incontinence.Pre-operatively patients had experienced symptoms for between 1 and 5 years.Mean CC _ IS in the preoperative period was 15.6 AE 5.1, 1 month after operation 3.9 AE 1.1 and 3 months after operation 6.1 AE 2.1.We found statistically significant differences pre-and postopertaive FIQLI scores.Postoperative recovery to resume a normal lifestyle was 20 days (10-28) on average.nDuring a prolonged follow-up no complications were noted.Conclusion: In the treatment of anal incontinence after obstetric injury overlapping sphincteroplasty is the method of choice. P002The complex pelvic floor clinic at a tertiary referral centre; an audit assessing multidisciplinary clinic appointments using patient feedback