Dr Henri Damon and colleagues from France studied a cohort of patients with fecal incontinence.
The team aimed to gain better insight into the clinical and epidemiological characteristics of this pathology and its repercussions on quality of life.
Consecutive patients with fecal incontinence seen at tertiary centers filled in a self-questionnaire.
|38% had an associated constipation|
|International Journal of Colorectal Disease |
The team evaluated the severity of fecal incontinence, constipation and urinary incontinence, respectively, by the Jorge and Wexner score, the Knowles-Eccersley-Scott Symptom score and the Urological Distress Inventory score.
ROME II criteria were used to assess the existence of an associated irritable bowel syndrome.
The team evaluated the repercussion on quality of life by the Gastrointestinal Quality of Life index score, and the Ditrovie score.
The psychological status was assessed by the Hospital Anxiety and Depression scale.
The researchers evaluated 621 patients with fecal incontinence.
The mean Jorge and Wexner score was 11, and 27 patients presented with an irritable bowel syndrome.
The team found that 38% had an associated constipation.
Urinary incontinence was identified in 48% women and 25% men.
Quality of life was significantly altered, and anxiety and depression occurred frequently.
Dr Damon's team concluded, "Fecal incontinence symptoms are frequently severe, quality of life very altered and anxiety and depression common."
"Fecal incontinence is frequently associated with other digestive and perineal symptoms, which argue in favour of a multi-disciplinary management of fecal incontinence."