Characteristics of fecal incontinence in women with anal sphincter dysfunction
-
- Matsushima Sayuri
- Matsushima Hospital
-
- Beniya Ayumi
- Matsushima Hospital
-
- Kosuge Noriko
- Matsushima Hospital
-
- Kuromizu Joji
- Matsushima Hospital
Bibliographic Information
- Other Title
-
- 肛門括約筋機能低下を有する女性における便失禁の特徴に関する検討
Abstract
<p>Aim: The aim of this study was to elucidate the risk factors for fecal incontinence (FI) in women who have anal sphincter dysfunction.</p><p>Methods: The subjects of this study were women with anal sphincter dysfunction (maximum resting pressure: MRP < 45 mmHg and/or atmospheric maximum squeeze pressure: MSP < 130 mmHg) who visited Matsushima Hospital Coloproctology Center between January and April in 2019. They were divided into two groups: one with FI and one without, and independent risk factors for FI were retrospectively analyzed by comparing the two groups using multivariate analysis. In the FI group, changes in anal pressure and symptom score with treatment were also evaluated.</p><p>Results: The subjects were 221 women (median age: 75 years, interquartile range: 64-80 years), who were divided into the FI group (149 patients) and the No FI group (72 patients). There was no significant difference in MRP or MSP between the two groups. Bowel movements were more frequent, age was higher, and rectal prolapse & forceps delivery were more prevalent in the FI than in the No FI group, and these differences were all statistically significant. On multivariate analysis, bowel movements of twice or more per day and forceps delivery were identified as independent risk factors for FI. In 15 patients who were evaluated at 6-month follow-up, neither MRP nor MSP significantly changed following treatment, whilst symptom scores improved significantly.</p><p>Conclusion: In women with anal sphincter dysfunction, bowel movements of twice or more per day and forceps delivery were independent risk factors for FI.</p>
Journal
-
- Journal of Japanese Society of Stoma and Continence Rehabilitation
-
Journal of Japanese Society of Stoma and Continence Rehabilitation 39 (3), 138-145, 2023
Japanese Society of Stoma and Continence Rehabilitation
- Tweet
Details 詳細情報について
-
- CRID
- 1390579830883519232
-
- ISSN
- 24343056
- 18820115
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
-
- Abstract License Flag
- Disallowed