Clinical characteristics and quality of life in a cohort of 621 patients with faecal incontinence

Damon, Henri; Schott, Anne-Marie; Barth, X.; Faucheron, J.‐L.; Abramowitz, Laurent; Siproudhis, L.; Fayard, Marie-Odile; Colin, Cyrille; Valancogne, G.; Bonniaud, V.; Mion, François

doi:10.1007/s00384-008-0489-x

Cited by 43 publications

(35 citation statements)

References 29 publications

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“…Conversely, excessive straining has been associated with progressive pelvic floor injury that may ultimately contribute to sphincter dysfunction and development of incontinence. However, coexisting constipation and fecal incontinence is only present in a minority of patients [30][31][32]. Consistent with these findings, patient self assessment and referral reasons identified a single primary symptom.…”

Section: Discussionsupporting

confidence: 74%

Discriminative Value of Anorectal Manometry in Clinical Practice

Raza

Bielefeldt

2008

Dig Dis Sci

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Guidelines recommend anorectal manometry in patients with fecal incontinence and chronic constipation. However, limited evidence supports the utility of manometric testing. We retrospectively reviewed tracings obtained between November 2005 and May 2008. A total of 298 patients (86% women; average age 52 years) were included. The main indications were incontinence (51%) and constipation (42%). Patients suffering from incontinence were older and had lower resting and squeeze pressure compared to continent patients. However, the discriminative power of manometric pressure data was poor, with low sensitivity and specificity. An abnormal straining pattern suggesting dyssynergic defecation was seen in 43% of constipated patients compared to 13% of patients with fecal incontinence. A concordance between manometric patterns and the balloon expulsion test was seen in 72%. The low sensitivity and specificity of manometric parameters does not support the routine use of anorectal manometry in patients with defecation disorders.

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Section: Discussionsupporting

confidence: 74%

Discriminative Value of Anorectal Manometry in Clinical Practice

Raza

Bielefeldt

2008

Dig Dis Sci

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“…[1][2][3] Involuntary loss of stool or gas leads to social isolation and depression. 3,4 Conservative treatment measures like diet, physiotherapy, biofeedback, and constipating drugs fail to achieve lasting improvement of the symptoms in about 50% of those affected. [5][6][7] Surgical measures such as sphincter repair or creation of a neosphincter also have a high failure rate, especially in patients with no morphological sphincter defect.…”

Section: Introductionmentioning

confidence: 99%

Sacral Nerve Stimulation Induces Changes in the Pelvic Floor and Rectum that Improve Continence and Quality of Life

Otto

Burmeister

Buhr

et al. 2010

Journal of Gastrointestinal Surgery

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“…Fecal incontinence and constipation are common clinical problems and have a significant impact on quality of life [1][2][3]. Dysfunction of both the anorectum and the pelvic floor are frequently found in these patients [4].…”

Section: Introductionmentioning

confidence: 99%