Responsiveness and interpretability of incontinence severity scores and FIQL in patients with fecal incontinence: a secondary analysis from a randomized controlled trial

Bols, Esther; Hendriks, H. Jurgens; Berghmans, Luc; Baeten, C. G. M. I.; Bie, Rob A. de

doi:10.1007/s00192-012-1886-9

Cited by 66 publications

(55 citation statements)

References 31 publications

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“…27 Experiencing all AI symptoms, however, was the only symptom or combination of AI symptoms found to have a profound impact on all four FIQL domains, also shown previously. [26][27][28] The participants in previous studies tended to be older women with long-standing AI symptoms and are thus not directly comparable to our group of young healthy primiparae. The poor association between AI symptoms and 'Depression' in this study may reflect that the young expectant mothers were possibly more focused on their imminent or recent delivery and their new role as mothers, rather than on the inconveniences possibly thought to be pregnancy-related and of short duration.…”

Section: Discussionmentioning

confidence: 77%

“…24 The study population is relatively large and has a similar response rate to previous studies. 3,13,25 The validity of the two assessment tools has been documented previously 20,23,[26][27][28][29] ; however we only used some of the items derived from the St. Mark's score, rather than the validated total score. This may have influenced the results, and our findings must therefore be interpreted with caution.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Anal incontinence and Quality of Life in late pregnancy: a cross‐sectional study

Johannessen

Mørkved

Stordahl

et al. 2014

BJOG

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Objective To evaluate the association between different types of anal incontinence (AI) and Quality of Life (QoL) in late pregnancy.Design Cross-sectional study.Setting Two maternity units in Norway 2009-2010.Population Primiparae aged 18 or over.Methods Participants answered questions about AI during the last 4 weeks of pregnancy on the St. Mark's score and impact of QoL in the Fecal Incontinence QoL score. Socioeconomic data were obtained from hospital records.Main outcome measures Self-reported AI and impact on QoL.Results 1571 primiparae responded; 573 (37%) had experienced AI during the last 4 weeks of pregnancy. One third of the incontinent women reported reduced QoL in the domain 'Coping'. 'Women experiencing urgency alone reported markedly better QoL compared to any other AI symptoms. AI appeared to have the strongest impact on the domains 'Coping' and 'Embarrassment'. Depression was only associated with experiencing the combination of all three symptoms [odds ratio (OR) 13; 95%confidence interval (CI) 3.2-51]. Experiencing flatus alone weekly or more was associated with the highest impact on 'Embarrassment' (OR 20; 95%CI 6.4-61) compared with all other symptoms or combination of AI symptoms, except the combination of all three AI symptoms.Conclusions Between 3 and 10% of the primiparae in this material experienced AI to such a extent that it affected QoL. The greatest impact was seen in the QoL domain 'Coping'. These findings highlight the importance of an increased awareness of AI in late pregnancy among health professionals and the need to implement routine discussions about AI with expectant and new mothers.

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Section: Discussionmentioning

confidence: 77%

Section: Strengths and Limitationsmentioning

confidence: 99%

Anal incontinence and Quality of Life in late pregnancy: a cross‐sectional study

Johannessen

Mørkved

Stordahl

et al. 2014

BJOG

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“…Because FI is a major stressor in life, the Fecal Incontinence QoL scale is a condition specific QoL questionnaire and is commonly used for the assessment of ARS [22]. All of these scoring systems are very useful for assessing FI, but a meta-analysis of the several studies was not possible due to the different scorings scales.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Floor Rehabilitation to Improve Functional Outcome After a Low Anterior Resection: A Systematic Review

et al. 2014

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PurposeImpaired functional outcome is common after a low anterior resection (LAR). Pelvic floor rehabilitation (PFR) might improve functional outcome after a LAR. The aim of this systematic review is to evaluate the effectiveness of PFR in improving functional outcome.MethodsPubMed, Embase, and the Cochrane Library were searched using the terms fecal incontinence, colorectal neoplasm/surgery, LAR, rectal cancer, anterior resection syndrome, bowel habit, pelvic floor, training, therapy, physical therapy, rehabilitation and biofeedback. Of the 125 identified records, 5 articles were included.ResultsThe 5 included studies reported on 321 patients, of which 286 patients (89%) underwent pelvic floor training. Three studies included patients with anterior resection syndrome after a LAR while the remaining studies included a series of patients after a LAR. Functional outcome was mostly assessed by using the Wexner incontinence scale. Quality of life was assessed in one study, and in three studies, rectal manometry was performed. After PFR, the functional outcome was improved in four studies, as was the quality of life.ConclusionThis systematic review demonstrated that PFR is useful for improving the functional outcome after a LAR. The data are extracted from studies of limited quality, but the available evidence points to the effectiveness of the procedure.

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“…Every serious sphincter injury also requires the grading of the quality of life sooner or later after the injury (FIQL) (6). That is why the reparation of an anal sphincter injury and the resulting fecal incontinence (if present) is essential for the injured patient and his/her family, as well as for the wider community because the physical and psychological recovery affects the working ability and the economic cost of the care.…”

Section: Introductionmentioning

confidence: 99%

Reparation of Traumatic Injury of Anal Sphincter: Case Report and Review of Surgical Treatment

Stosic¹

2014

Acta Facultatis Medicae Naissensis

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Anal sphincter injuries are rare and usually related to obstetric injuries. Other more frequent causes of a violent injury of the anal muscles (including the rectum) are war injuries, violent civil injuries, iatrogenic injuries during surgeries, sexual injuries and accidental injuries. Accidental injuries are extremely rare and, searching Medline, Scopus and Medscape for the past five years, I have found only a few descriptions of such injuries. Almost all such articles are of "the case study type". This paper presents two cases of accidental anal muscle injuries which were successfully operated by using the reconstructive surgery procedure. One case is about fecal incontinence due to a major muscle injury, and the other is about a partial injury of the external anal muscle in two places. The diagnoses were made by palpation and operative exploration. The anal manometry, electromyography and transanalsonography were not used.By presenting two accidental anal sphincter injuries and by reviewing the data from the published works, the aim of the paper was to help us determine when and how to operate and whether an additional diagnosis is always necessary. This article focuses on rare and specific but frequently very serious injuries. The reparation by primary sphincteroplasty gives excellent results.

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Responsiveness and interpretability of incontinence severity scores and FIQL in patients with fecal incontinence: a secondary analysis from a randomized controlled trial

Cited by 66 publications

References 31 publications

Anal incontinence and Quality of Life in late pregnancy: a cross‐sectional study

Anal incontinence and Quality of Life in late pregnancy: a cross‐sectional study

Pelvic Floor Rehabilitation to Improve Functional Outcome After a Low Anterior Resection: A Systematic Review

Reparation of Traumatic Injury of Anal Sphincter: Case Report and Review of Surgical Treatment

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