Clinical Presentation of Fecal Incontinence and Anorectal Function: What Is the Relationship?

Deutekom, Marije; Dobben, Annette C.; Terra, Maaike P.; Engel, Alexander; Stoker, Jaap; Bossuyt, Patrick M.; Boeckxstaens, Guy E.

doi:10.1111/j.1572-0241.2006.00927.x

Cited by 55 publications

(54 citation statements)

References 29 publications

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“…With respect to the manometric findings of the patients with AI: the resting pressure, ACL and SMP are diminished compared to the other groups as described by other authors (12,14,18). There is also a more impaired rectal sensation.…”

Section: Discussionsupporting

confidence: 55%

Differences in the pressures of canal anal and rectal sensitivity in patients with fecal incontinence, chronic constipation and healthy subjects

Ríos

Juan²,

Garcı́a

et al. 2010

Rev. esp. enferm. dig.

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Introduction: There exits a great variability in the manometric findings between patients with anal incontinence (AI) and healthy subjects. The correlation between the pressures of the anal canal and the AI is not exact by the wide rank of normal values.Objectives: Prospective study to evaluate differences in the pressures of the anal canal and in rectal sensitivity in patients with AI, chronic constipation (CC) and healthy subjects.Material and methods: Ninety four patients with AI, 36 patients with CC and 15 healthy subjects were included. The following data were obtained: age, sex, resting pressure, anal canal length (ACL), squeeze maximum pressure (SMP), squeeze pressure duration (SPD), first sensation, urge and maximum tolerated volume (MTV). Statistical study: test of Kruskal-Wallis, test of Mann-Whitney, and multinomial logistic regression test.Results: There were significant differences in the resting pressure (p < 0.001), the ACL (p < 0.001) and the SMP (p < 0.01) in the group of AI with respect to the other two groups. The volume for the first sensation was significantly lower in the healthy subjects than that in the other two groups (p < 0.05). The urge volume and the MVT were smaller in the group with AI with respect to the other groups (p < 0.001). In multivariate analysis the age, the resting pressure and the volume for the first sensation and urge increase the relative risk for AI.Conclusions: The greater age, the decrease in anal canal resting pressure and the alteration of rectal sensation increase the risk for AI.Key words: Incontinencia fecal. Manometría ano-rectal. Presiones del canal anal. Sensibilidad rectal. RESUMENIntroducción: Existe gran variabilidad en los hallazgos manométricos entre pacientes con incontinencia anal (IA) y sujetos sanos. La correlación entre las presiones del canal anal y la IA no es exacta por el amplio rango de valores normales.Objetivos: Estudio prospectivo para evaluar diferencias en las presiones del canal anal y en la sensibilidad rectal en pacientes con IA, estreñimiento crónico (EC) y sujetos sanos.Material y métodos: Noventa y cuatro pacientes con IA, 36 pacientes con EC y 15 sujetos sanos. Se obtuvieron: edad, sexo, presión de reposo, longitud del canal anal (LCA), presión de máxi-ma contracción voluntaria (PMCV), duración de la contracción voluntaria, primera sensación, sensación de urgencia y máximo volumen tolerado (MVT). Estudio estadístico: test de Kruskal-Wallis, test de Mann-Whitney, regresión logística multinomial.Resultados: Se encontraron diferencias significativas en la edad (p < 0,001), la presión de reposo (p < 0,001), la LCA (p < 0,001) y la PMCV (p < 0,01) en el grupo de IA con respecto a los otros dos grupos. El volumen para la primera sensación fue significativamente más bajo en los sujetos sanos que en los otros dos grupos (p < 0,05). El volumen de urgencia y el MVT fueron menores en el grupo con IA con respecto a los otros dos grupos (p < 0,001). En el análisis multivariante la edad, la presión de reposo y el volumen de la primera sensació...

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Section: Discussionsupporting

confidence: 55%

Differences in the pressures of canal anal and rectal sensitivity in patients with fecal incontinence, chronic constipation and healthy subjects

Ríos

Juan²,

Garcı́a

et al. 2010

Rev. esp. enferm. dig.

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“…The median Wexner incontinence score was 18 (range [13][14][15][16][17][18][19][20] for the five patients with idiopathic fecal incontinence and 14 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17) for the five patients with fecal incontinence and a sphincter lesion.…”

Section: Patientsmentioning

confidence: 99%

“…In spite of this, colonic contraction patterns and colorectal transport in idiopathic fecal incontinence have scarcely been studied [8][9][10][11][12], and colorectal transport in patients with fecal incontinence due to anal sphincter lesions still needs to be investigated.…”

Section: Introductionmentioning

confidence: 96%

Poor outcome of sphincter repair: an evacuation problem?

et al. 2010

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“…Incomplete defecation may result from an anatomical problem such as rectocele but it can be a functional problem relating to poor rectal sensation, high rectal compliance, failure of the internal sphincter to relax during defecation or active contraction of the external sphincter, rather than relaxation, during defecation. 8 In general, experts agree that ARPS involve the measurement of sphincter function, rectal compliance, and rectal sensation. 7 ARPS are in the ICI-report discussed in two parts.…”

Section: Anorectal Physiologymentioning

confidence: 99%

Executive summary: The International Consultation on incontinence 2008—committee on: “Dynamic Testing”; for Urinary or fecal incontinence. Part 3: Anorectal physiology studies

Hosker

Szabo

Capewell

et al. 2009

Neurourology and Urodynamics

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Aims: The members of 'The International Consultation on Incontinence 2008 (Paris) Committee on DynamicTesting' provide an executive summary of the chapter 'Dynamic Testing' that discusses testing methods for patients with signs and or symptoms of incontinence. Testing of patients with signs and or symptoms of urinary as well as testing of patients with fecal incontinence is discussed. Methods: Evidence based and consensus committee report. Results: The chapter 'Dynamic Testing' is a continuation of previous Consultation-reports added with a new systematic literature search and expert discussion. Conclusions, based on the published evidence and recommendations, based on the integration of evidence with expert experience and discussion are provided separately, for transparency. Conclusion: This third part of a series of three articles summarizes the recommendations given in the paragraph: 'Anorectal physiology studies' with regard to fecal incontinence (whether or not in combination with urinary incontinence) and includes only the most recent and relevant literature references. Neurourol.

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Clinical Presentation of Fecal Incontinence and Anorectal Function: What Is the Relationship?

Cited by 55 publications

References 29 publications

Differences in the pressures of canal anal and rectal sensitivity in patients with fecal incontinence, chronic constipation and healthy subjects

Differences in the pressures of canal anal and rectal sensitivity in patients with fecal incontinence, chronic constipation and healthy subjects

Poor outcome of sphincter repair: an evacuation problem?

Executive summary: The International Consultation on incontinence 2008—committee on: “Dynamic Testing”; for Urinary or fecal incontinence. Part 3: Anorectal physiology studies

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