Physiological, psychological and behavioural characteristics of men and women with faecal incontinence

Maeda, Yasuko; Vaizey, C. J.; Hollington, Paul; Stern, Julian; Kamm, Michael A.

doi:10.1111/j.1463-1318.2008.01717.x

Cited by 27 publications

(25 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our finding of differences in male and female pathophysiology and pathogenesis has been corroborated by other studies. 45,46 Essentially, more women have an impaired EAS function (in our study, almost all the women compared to just one third of men), whereas impaired IAS function is common in both sexes (in our study, around three quarters of the women and almost half of the men). These data would explain the predominance of passive fecal incontinence in men and of passive and urge incontinence in women, as reported in other studies.…”

Section: Discussionmentioning

confidence: 72%

Quality of Life Differences in Female and Male Patients with Fecal Incontinence

Mundet

Ribas

Arco

et al. 2015

J Neurogastroenterol Motil

View full text Add to dashboard Cite

Background/AimsTo explore and compare quality of life (QoL) differences in female and male patients with fecal incontinence. MethodsNinety-one patients with fecal incontinence (60 women, mean (SD) age 64.13 (9.72) years; 31 men, mean (SD) age 63.61 (13.33) years) were assessed for pathophysiology (anorectal manometry and ultrasound), clinical severity (Wexner and Vaizey scales), QoL (Fecal Incontinence Quality of Life Score [FIQL]) and health status (EQ-5D). ResultsExternal and internal anal sphincter impairment rates were 96.5% and 70.2%, respectively, in women, compared to 30% and 43.3% respectively in men (P < 0.05). Clinical severity was similar in both sexes, with mean (SD) Wexner scores of 10.95 (4.35) for women and 9.81 (4.30) for men, and mean (SD) Vaizey scores of 13.27 (4.66) for women and 11.90 (5.22) for men. Scores for women were significantly lower for all FIQL depression and coping subscales (P < 0.001) and the EQ-5D depression subscale (P < 0.01). EQ-5D index was 0.687 (0.20) for women and 0.835 (0.15) for men (P < 0.001). QoL was negatively affected by female gender (-1.336), anxiety/depression (-1.324) and clinical severity (-0.302), whereas age had a positive impact (0.055 per year) (P < 0.01). ConclusionsThe pathophysiology of fecal incontinence differed between the sexes. For similar severity scores, impact on QoL was higher in women. Gender had the highest impact on QoL compared to other factors. QoL measurements should be part of assessment and treatment protocols.

show abstract

Section: Discussionmentioning

confidence: 72%

Quality of Life Differences in Female and Male Patients with Fecal Incontinence

Mundet

Ribas

Arco

et al. 2015

J Neurogastroenterol Motil

View full text Add to dashboard Cite

show abstract

“…27 Co-existent psychological problems may include anxiety and depression, 28,29 poor self-esteem, and problems with sexual relationships. 30 Quality of life issues can be evaluated by generic or disease-specific instruments, such as the Rockwood Fecal Incontinence Quality of Life Scale, modified Manchester Health Questionnaire, Fecal Incontinence and Constipation Assessment Quality of Life scale.…”

Section: F1 Fecal Incontinencementioning

confidence: 99%

Anorectal Disorders

et al. 2016

View full text Add to dashboard Cite

This report defines criteria and reviews the epidemiology, pathophysiology, and management of the following common anorectal disorders: fecal incontinence (FI), functional anorectal pain, and functional defecation disorders. FI is defined as the recurrent uncontrolled passage of fecal material for at least 3 months. The clinical features of FI are useful for guiding diagnostic testing and therapy. Anorectal manometry and imaging are useful for evaluating anal and pelvic floor structure and function. Education, antidiarrheals, and biofeedback therapy are the mainstay of management; surgery may be useful in refractory cases. Functional anorectal pain syndromes are defined by clinical features and categorized into 3 subtypes. In proctalgia fugax, the pain is typically fleeting and lasts for seconds to minutes. In levator ani syndrome and unspecified anorectal pain, the pain lasts more than 30 minutes, but in levator ani syndrome there is puborectalis tenderness. Functional defecation disorders are defined by ≥2 symptoms of chronic constipation or irritable bowel syndrome with constipation, and with ≥2 features of impaired evacuation, that is, abnormal evacuation pattern on manometry, abnormal balloon expulsion test, or impaired rectal evacuation by imaging. It includes 2 subtypes: dyssynergic defecation and inadequate defecatory propulsion. Pelvic floor biofeedback therapy is effective for treating levator ani syndrome and defecatory disorders.

show abstract

“…However, it has also been reported that up to 40% of men have no structural abnormalities on endoanal ultrasound to explain symptoms. 9 Men are also much more likely to have no previous risk factors. 4 To date, despite being championed in the pediatric and geriatric literature, 10,11 concurrent constipation as an underlying cause of FI in adults has largely been overlooked, although in population-based studies, the presence of incomplete evacuation is considered an independent risk factor for FI.…”

mentioning

confidence: 96%

Fecal Incontinence in Men

Burgell

Bhan

Lunniss

et al. 2012

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

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.

show abstract

Physiological, psychological and behavioural characteristics of men and women with faecal incontinence

Abstract: Nearly 40% of men with faecal incontinence report it in the absence of a definable functional or structural sphincter abnormality. There are differences in physiological characteristics and coping behaviours of men and women with faecal incontinence.

Cited by 27 publications

References 22 publications

Quality of Life Differences in Female and Male Patients with Fecal Incontinence

Quality of Life Differences in Female and Male Patients with Fecal Incontinence

Anorectal Disorders

Fecal Incontinence in Men

Contact Info

Product

Resources

About