摘要
Objective - To investigate the prevalence of anal incontinence in the general population and in patients consulting gastroenterologist and gynecologist practices in the Rh ne Alpes area. Methods - For the first study a questionnaire was sent to a sample of 2800 people selected randomly from the electoral roll. Another study of patients selected randomly among patients attending gynecology and gastroenterology consultations was performed. A Jorge & Wexner score above or equal to 5 was used to define anal incontinence. Results - For the first study, a total of 706 questionnaires was analyzed: the prevalence of anal incontinence was 5.1% [95% CI: 3.6- 7.0] and the scores of each dimension of the SF- 12 Health Survey were signifi- cantly lower among incontinent people than among continent people. The prevalence was significantly higher for women (7.5% [5.0- 10.7]) than for men (2.4% [1.1- 4.7]). Eighty-four physicians returned 835 valid questionnaires. The prevalence was 13.1% [10.1- 16.6] among patients attending gastroenterology consultations and 5.0% [3.1- 7.6] among those attending gynecology consultations. For 84.8% of the incontinent patients, the physician was unaware of the patient’s disorder. Conclusion- The prevalence figures we obtained coincide with data in the literature. This disorder is common and affects the patient’s quality-of-life, but remains underestimated and underdiagnosed.
Objective - To investigate the prevalence of anal incontinence in the general population and in patients consulting gastroenterologist and gynecologist practices in the Rhoene Alpes area. Methods - For the first study a questionnaire was sent to a sample of 2800 people selected randomly from the electoral roll. Another study of patients selected randomly among patients attending gynecology and gastroenterology consultations was performed. A Jorge & Wexner score above or equal to 5 was used to define anal incontinence. Results - For the first study, a total of 706 questionnaires was analyzed: the prevalence of anal incontinence was 5. 1% [95% CI: 3.6 - 7. 0] and the scores of each dimension of the SF - 12 Health Survey were significandy lower among incontinent people than among continent people. The prevalence was significantly higher for women (7.5% [5. 0 -10. 7] ) than for men (2.4% [1.1- 4.7]). Eighty-four physicians returned 835 valid questionnaires. The prevalence was 13.1% [10. 1 -16.6] among patients attending gastroenterology consultations and 5.0% [3.1 -7. 6] among those attending gynecology consultations. For 84. 8% of the incontinent patients, the physician was unaware of the patient's disorder. Conclusion- The prevalence figures we obtained coincide with data in the literature.