TY - JOUR
T1 - Anal incontinence
T2 - Prevalence among female patients attending a urogynecologic clinic
AU - Gordon, David
AU - Groutz, Asnat
AU - Goldman, Gideon
AU - Avni, Amiram
AU - Wolf, Yoram
AU - Lessing, Joseph B.
AU - David, Menachem P.
PY - 1999
Y1 - 1999
N2 - The present study prospectively surveyed the prevalence of anal incontinence among 283 consecutive female patients attending a urogynecologic outpatient clinic in a maternity hospital. Data concerning bowel habits, laxative use, previous anorectal surgery, and the presence, severity, and frequency of anal incontinence were collected by interviewing the patients. Anal incontinence was reported by 83 women, representing 29% of the study population. Of those reporting anal incontinence, 30% (9% of the study population) were incontinent to solid feces, 22% (6%) to liquid feces, and 48% (14%) to gas. Age distribution demonstrates progressive rise and a high prevalence of anal incontinence in patients older than 60 years. A significant higher rate of vacuum deliveries was found among patients with anal incontinence, compared with continent patients (9.6% vs. 2.5%; P = 0.01). Increased prevalence of anal incontinence was also found among patients with past history of hemorrhoidectomy and those with urodynamic diagnosis of combined genuine stress incontinence and detrusor instability/sensory urgency. In conclusion, in patients attending a urogynecologic clinic, anal incontinence is a frequent, although rarely volunteered, symptom.
AB - The present study prospectively surveyed the prevalence of anal incontinence among 283 consecutive female patients attending a urogynecologic outpatient clinic in a maternity hospital. Data concerning bowel habits, laxative use, previous anorectal surgery, and the presence, severity, and frequency of anal incontinence were collected by interviewing the patients. Anal incontinence was reported by 83 women, representing 29% of the study population. Of those reporting anal incontinence, 30% (9% of the study population) were incontinent to solid feces, 22% (6%) to liquid feces, and 48% (14%) to gas. Age distribution demonstrates progressive rise and a high prevalence of anal incontinence in patients older than 60 years. A significant higher rate of vacuum deliveries was found among patients with anal incontinence, compared with continent patients (9.6% vs. 2.5%; P = 0.01). Increased prevalence of anal incontinence was also found among patients with past history of hemorrhoidectomy and those with urodynamic diagnosis of combined genuine stress incontinence and detrusor instability/sensory urgency. In conclusion, in patients attending a urogynecologic clinic, anal incontinence is a frequent, although rarely volunteered, symptom.
KW - Anal incontinence
KW - Pelvic floor
KW - Urinary incontinence
KW - Urogynecology
UR - http://www.scopus.com/inward/record.url?scp=0032906562&partnerID=8YFLogxK
U2 - 10.1002/(SICI)1520-6777(1999)18:3<199::AID-NAU6>3.0.CO;2-U
DO - 10.1002/(SICI)1520-6777(1999)18:3<199::AID-NAU6>3.0.CO;2-U
M3 - מאמר
AN - SCOPUS:0032906562
VL - 18
SP - 199
EP - 204
JO - Neurourology and Urodynamics
JF - Neurourology and Urodynamics
SN - 0733-2467
IS - 3
ER -