Faecal incontinence in male patients

Kim, T.; Chae, Ganghee; Chung, Soon-Sup; Sands, Dana R.; Speranza, Jenny R.; Weiss, Eric G.; Nogueras, Juan J.; Wexner, Steven D.

doi:10.1111/j.1463-1318.2007.01266.x

Cited by 28 publications

(24 citation statements)

References 73 publications

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“…In women, the cause of sphincter trauma is most commonly obstetric, with 23% to 45% of primigravidas having sonographic evidence of sphincter damage following delivery, 18 whereas in men who have sphincter injury, the damage appears primarily iatrogenic. 4,8 Alternative pathoetiologic factors for the development of FI in men must therefore be considered. This study shows that the majority of men with FI report coexistent symptoms of constipation and rectal evacuatory dysfunction (RED), confirmed in a proportion on evacuation proctography.…”

Section: Discussionmentioning

confidence: 99%

“…7 Understanding the etiologic mechanisms other than traumatic childbirth is therefore fundamental in men, in whom information concerning cause is less well established. Recently, studies 4,8 have shown that the majority of men with FI have a past history of perianal disease (including hemorrhoids and perianal sepsis), with 58% having a history of at least one surgical procedure. However, it has also been reported that up to 40% of men have no structural abnormalities on endoanal ultrasound to explain symptoms.…”

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confidence: 99%

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Fecal Incontinence in Men

Burgell

Bhan

Lunniss

et al. 2012

Diseases of the Colon &Amp; Rectum

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Only one-third of incontinent men had sphincteric dysfunction. Other pathophysiologies must therefore be considered. Nearly half of patients reported concurrent constipation, and one-sixth had rectal hyposensitivity, which was associated with higher frequencies of both symptomatic and objective measures of rectal evacuatory dysfunction. In the majority of adult males, fecal incontinence may represent a secondary phenomenon.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Fecal Incontinence in Men

Burgell

Bhan

Lunniss

et al. 2012

Diseases of the Colon &Amp; Rectum

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“…Wexner and colleagues recently reported a large cohort of males with FI [16]. Males represented 29% of their incontinent patients.…”

Section: Male Incontinencementioning

confidence: 95%

“…Prostate cancer, symptomatic haemorrhoids, perianal sepsis, rectal cancer and proctectomy/proctocolectomy with appropriate reconstructive surgery were associated conditions in patients of all ages. In younger patients, perineal injury, perianal sepsis, imperforate anus and anal cancer were significantly more common, whereas urological and neurological diseases were significantly more common in older patients [16].…”

Section: Male Incontinencementioning

confidence: 99%

Anal incontinence

Bartolo

Paterson

2009

Best Practice & Research Clinical Gastroenterology

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Anal incontinence is a life restricting condition that is sometimes challenging to treat. There is an equal gender prevalence, however women are more likely to present particularly early in life, as a result of obstetric injury. This is still one of the leading causes of anal incontinence and sphincter tears can be missed at the time of delivery. As a result, there is a heightened awareness for sphincter injury based on risk assessment, digital rectal examination and an endo-anal ultrasound. Surgical repair is still invaluable in the presence of disruption and salvage procedures for severe refractory incontinence such as the dynamic gracilloplasty and the artificial bowel sphincter continue to be perfected. Mini invasive procedures such as rectal irrigation and sacral neuromodulaton have had a successful outcome and we have had to depend less on the more invasive treatments. Above all there is a growing need to protect not only the baby but also the pelvic floor and anal sphincter from traumatic deliveries, through early risk assessment and research.

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“…The effect of rectal cancer surgery is often to reduce the rectal capacity, which, combined with radiotherapy, commonly reduces the ability to defer defaecation 37 . Indeed, the incidence of faecal incontinence following pelvic radiotherapy alone has been reported to be as high as 58% 38 …”

Section: Management Of Synchronous Prostate and Rectal Cancermentioning

confidence: 99%

Interactions in the aetiology, presentation and management of synchronous and metachronous adenocarcinoma of the prostate and rectum

Nash

Turner

Hickish

et al. 2012

annals

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Adenocarcinoma of the prostate and rectum are common male pelvic cancers and may present synchronously or metachronously and, due to their anatomic proximity. The treatment of rectal or prostate cancer (in particular surgery and/or radiotherapy) may alter the presentation, incidence and management should a metachronous tumour develop. This review focuses on the interaction between prostatic and rectal cancer diagnosis and management. We have restricted the scope of this large topic to general considerations, management of rectal cancer after prostate cancer treatment and vice versa, management of synchronous disease and cancer follow-up issues.

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Faecal incontinence in male patients

Abstract: Prostate cancer, symptomatic haemorrhoids, perianal sepsis, rectal cancer and a history of restorative rectal resection were common associations with FI in men. The aetiologies for FI in men vary with age.

Cited by 28 publications

References 73 publications

Fecal Incontinence in Men

Fecal Incontinence in Men

Anal incontinence

Interactions in the aetiology, presentation and management of synchronous and metachronous adenocarcinoma of the prostate and rectum

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