Factors Associated with Symptom Severity in Women Presenting with Fecal Incontinence

Menees, Stacy B.; Smith, Tovia M.; Xu, Xiao; Chey, William D.; Saad, Richard J.; Fenner, Dee E.

doi:10.1097/dcr.0b013e31826f8773

Cited by 31 publications

(19 citation statements)

References 31 publications

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“…(12) Women with DI tend to report greater FI symptom severity than women with FI alone. (13) It would seem that higher symptom severity would result in similar disclose between FI and UI for women with DI; however one study indicates DI patients are unlikely to voluntarily disclose their anal incontinence symptoms. (14)…”

Section: Introductionmentioning

confidence: 99%

Written versus oral disclosure of fecal and urinary incontinence in women with dual incontinence

et al. 2014

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Introduction and Hypothesis To compare fecal incontinence (FI) and urinary incontinence (UI) disclosure in women with dual incontinence (DI), and to assess UI disclosure in DI subjects compared to women with UI alone. We hypothesized that women with DI would be less likely to disclose fecal incontinence (FI) in comparison to urinary incontinence (UI) and as likely to disclose UI as women with UI alone. Methods We performed a retrospective chart review of new patient visits to an academic Urogynecology clinic from 2007–2011. Clinical records were reviewed; demographic data and responses to the ISI and Wexner scales were recorded. Patients’ written responses to the ISI and Wexner were compared to the diagnoses obtained from oral history by the physician. Results Of 1899 women in the database, 557 women were diagnosed with dual incontinence (DI) and 447 women were diagnosed with UI alone. Women with DI were less likely to orally disclose FI than UI (135/557 (23%), vs 485/557(87%), p<0.001) but were as likely as women with UI alone to disclose UI (385/447(86%) vs 485/557(87%), p=0.66). In the multivariable analysis, DI subjects had greater odds of disclosing FI to their physicians if they had private insurance (OR 1.9, 95%CI [1.2, 3.0]) or Wexner score > 7 (OR 9.0, 95% CI [5.4,14.8]) and lower ISI score (OR 1.5, CI [1.4, 1.6]). Conclusions Women with DI were less likely to report FI in comparison to UI. Patients were more likely to orally report FI when the symptoms were severe.

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Section: Introductionmentioning

confidence: 99%

Written versus oral disclosure of fecal and urinary incontinence in women with dual incontinence

et al. 2014

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“…These results are consistent with those of previous studies (2,22) , but all these measurements are relevant to therapeutic decision making, as ultrasound can differentiate between incontinent patients with intact anal sphincters and those with sphincter lesions, as well as associate anal pressures and symptoms, providing additional value to select patients for different treatment modalities. Fecal incontinence is multifactorial; different mechanisms are involved (12) and patients with fecal incontinence and intact sphincter may have muscle degeneration, atrophy, or pudendal neuropathy (19,23,25) . Ultrasound can identify clinically occult anal sphincter injuries following vaginal delivery (8,16) .…”

Section: Eas Defect Plus Eas + Ias Defect (N = 33) Anterior Ias (Cm) Vsmentioning

confidence: 99%

“…It has a significant impact on daily life and can lead to social isolation (11) . Different risk categories for fecal incontinence have been described (12) . Females with a history of previous vaginal delivery make up the majority of affected individuals (20) , but age, BMI, previous anal and colorectal surgery, radiation exposure, and neurological conditions are also risk factors (12) .…”

Section: Introductionmentioning

confidence: 99%

“…Different risk categories for fecal incontinence have been described (12) . Females with a history of previous vaginal delivery make up the majority of affected individuals (20) , but age, BMI, previous anal and colorectal surgery, radiation exposure, and neurological conditions are also risk factors (12) . Therefore, proper evaluation of this condition-including use of fecal incontinence scores to quantify subjective symptoms and functional and anatomic measurements-plays a key role in patient management.…”

Section: Introductionmentioning

confidence: 99%

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Do Changes in Anal Sphincter Anatomy Correlate With Anal Function in Women With a History of Vaginal Delivery?

Murad-Regadas

Dealcanfreitas

Regadas

et al. 2014

Arq. Gastroenterol.

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-Objectives -To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. Methods -Female with fecal incontinence and vaginal delivery were assessed with Wexner's score, manometry, and 3DAUS. A control group comprising asymptomatic nulliparous was included. Anal pressure, the angle of the defect and length of the external anal sphincter (EAS), the anterior and posterior internal anal sphincter (IAS), the EAS + puborectal and the gap were measured and correlated with score. Results -Of the 62, 49 had fecal incontinence and 13 were asymptomatic. Twenty five had EAS defects, 8 had combined EAS+IAS defects, 16 had intact sphincters and continence scores were similar. Subjects with sphincter defects had a shorter anterior EAS, IAS and longer gap than women without defects. Those with a vaginal delivery and intact sphincters had a shorter anterior EAS and longer gap than nulliparous. We found correlations between resting pressure and anterior EAS and IAS length in patients with defects. Conclusions -Fecal incontinence symptoms did not correlate with anal pressures and anal sphincter anatomy changes, but women with sphincter defects have shorter anterior EAS and IAS and a longer gap.

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“…여성의 변실금 유병률은 국가별로 약 8~11%로 다르게 제 시되고 있다 [13][14][15][16][17] 그리고 변실금을 유발시키는 요인들에 대 해서는 많은 선행연구들에서 여성의 분만력 [15,16,18]과 연 령 [14,17,19]을 제시하였고, 이외에도 뇌졸중, 일과성 허혈발 작, 치매, 만성간염 [16], 당뇨 [13,20] …”

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A Study on Fecal Incontinence and Depression of Rural Women

Kim

Lee

Kim

2014

J Korean Acad Community Health Nurs

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Factors Associated with Symptom Severity in Women Presenting with Fecal Incontinence

Abstract: Patients with a history of episiotomy, diabetes, urinary incontinence, and fecal urgency have increased FI symptom severity. Proactive screening of patients with these medical histories is needed.

Cited by 31 publications

References 31 publications

Written versus oral disclosure of fecal and urinary incontinence in women with dual incontinence

Written versus oral disclosure of fecal and urinary incontinence in women with dual incontinence

Do Changes in Anal Sphincter Anatomy Correlate With Anal Function in Women With a History of Vaginal Delivery?

A Study on Fecal Incontinence and Depression of Rural Women

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