Diagnosis and Management of Fecal Incontinence at a Specialty Outpatient Clinic

Abé, Tatsuya; Kunimoto, Masao; Hachiro, Yoshikazu

doi:10.3862/jcoloproctology.61.247

Cited by 11 publications

(5 citation statements)

References 27 publications

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“…The frequency of complication with anal sphincter defects in women with fecal incontinence was lower in this study than the value reported earlier (29 %) [15]. The difference is probably due to the different characteristics of the study subjects.…”

Section: Discussioncontrasting

confidence: 77%

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Diagnosis of anal sphincter defects by three-dimensional transperineal ultrasound in women with anal incontinence

et al. 2012

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Section: Discussioncontrasting

confidence: 77%

“…6.1 ± 3.6 (0- 15) allows measurement of the anorectal angle. The results also showed that the anorectal angle and the length of the portion where both the internal and external anal sphincters were intact in the middle part of the anal canal were significantly correlated with the severity of anal incontinence.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of anal sphincter defects by three-dimensional transperineal ultrasound in women with anal incontinence

et al. 2012

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“…Of patients visiting our defecation function outpatient clinic over a certain period, 36.5% were men, and 63.5% were women, with the percentage of women being significantly higher than that of men. Taking other reports into consideration [19,22], we have concluded that more women than men with FI visit hospitals for this condition.…”

Section: Discussionmentioning

confidence: 80%

“…Median CCF-FIS score was 6 (4-9) for the male patients and significantly higher at 9 (6)(7)(8)(9)(10)(11)(12) for the female patients (p < 0.0001). Median FISI score was also higher for the female patients at 23 (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31) than for the male patients at 20 (12-31) (p = 0.02). Bristol type 6/7 stools, i.e., diarrheal stools, were significantly more prevalent among the male patients than among the female patients at 26.8% vs. 16.2%, respectively (p = 0.01).…”

Section: Patients' Clinical Characteristicsmentioning

confidence: 93%

Characteristics of Fecal Incontinence in Male Patients in Japan

Matsushima

Kuromizu

Miyajima

et al. 2022

J Anus Rectum Colon

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Objectives: Although community studies have shown no difference between the sexes in the prevalence of fecal incontinence (FI), few direct comparisons of disease characteristics between male and female patients have been reported. The aim of this study was to determine whether characteristics of FI differ between male and female patients in Japan. Methods: Included in the study were 408 (149 men, 259 women) patients with FI who visited the Matsushima Hospital Coloproctology Center between October 2016 and September 2017. We retrospectively evaluated data on age, number of bowel movements, Bristol stool form scale, number of FI, incontinence scores, anorectal manometry, comorbidities, and history of anal surgery. Results: Maximum resting pressure and maximum squeeze pressure were found to be within normal range in significantly more male than female patients (34.9% vs. 12.4%, respectively; p < 0.0001). Irritable bowel syndrome (IBS, 20.1% vs. 9.3%; p = 0.003) and a history of anal surgery (29.5% vs. 17.5%; p = 0.02) were more prevalent among male patients than among female patients. Use of mepenzolate as treatment was significantly more common among male patients than among female patients (16.8% vs. 6.6%, respectively; p = 0.005). Responses to the various treatments were good, regardless of sex. Conclusions: FI appears to be more commonly accompanied by normal anal sphincter pressures in male patients than in female patients, and IBS and previous anal surgery appear to be more common among male patients than among female patients. FI appears to be controllable in most patients, regardless of sex.

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“…Clinically there are 3 subtypes: 1) passive incontinence-the involuntary discharge of rectal contents without awareness; 2) urge incontinence-the discharge of stool in spite of active attempts to retain bowel contents; and 3) combined incontinence-both passive and urge incontinence [2]. The majority of FI patients have passive incontinence [11]. Passive incontinence is generally associated with dysfunction of the smooth muscle of the IAS, whereas urge incontinence is related to dysfunction of the striated muscle of the EAS [1,2].…”

Section: Resultsmentioning

confidence: 99%

Risk factors for internal anal sphincter dysfunction in Japanese adults

Abé¹,

Kono²,

Hachiro³

et al. 2013

OJGas

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Purpose: The internal anal sphincter provides most of the resting anal tone and is the main muscle responseble for continence. This study was designed to estimate the prevalence of, and identify risk factors associated with, internal anal sphincter dysfunction in Japanese adults. Methods: Anorectal manometry was performed in 1193 women and 1124 men aged 20 years or older. The maximal resting pressure, measured by a rapid pull-through technique, was defined as the highest resting pressure recorded. Internal anal sphincter dysfunction was defined as a maximal resting pressure less than 30 mmHg. Potential risk factors were assessed through self-reports, interviews, physical examinations, and medical record reviews. Multivariate logistic regression analysis was used to identify independent risk factors for internal anal sphincter dysfunction. Results: Significant differences in maximal resting pressure were seen between women (58.1 ± 24.9 mmHg) and men (68.8 ± 23.5 mmHg, P < 0.001). Maximal resting pressure decreased significantly with increasing age in both sexes. The prevalence of internal anal sphincter dysfunction was 10.4% (15.5% in women, 5.1% in men). In a multivariate logistic regression model, age, mental disease, pelvic organ prolapse repair, and fecal incontinence were independently associated with a greater risk of internal anal sphincter dysfunction in women and men. Conclusions: Internal anal sphincter dysfunction is a common problem for women and men. Several of the identified risk factors are preventable or modifiable, and may direct future research in fecal incontinence therapy.

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Diagnosis and Management of Fecal Incontinence at a Specialty Outpatient Clinic

Cited by 11 publications

References 27 publications

Diagnosis of anal sphincter defects by three-dimensional transperineal ultrasound in women with anal incontinence

Diagnosis of anal sphincter defects by three-dimensional transperineal ultrasound in women with anal incontinence

Characteristics of Fecal Incontinence in Male Patients in Japan

Risk factors for internal anal sphincter dysfunction in Japanese adults

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