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 stud...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.展开更多
PURPOSE: This study was designed to investigate the long- term consequences of anal sphincter defects detected after a first vaginal delivery. METHODS:A cohort of 197 primiparous females was evaluated for anal contine...PURPOSE: This study was designed to investigate the long- term consequences of anal sphincter defects detected after a first vaginal delivery. METHODS:A cohort of 197 primiparous females was evaluated for anal continence and anal sphincter defects in 1997. In June 2003 (6 years later), a postal questionnaire was sent to 74 females of this cohort, and answers from 54 (73 percent) were analyzed. RESULTS: In 1997, a transanal ultrasound found 66 anal sphincter defects (33.5 percent). Twenty- one females (10.6 percent) had persistent signs of anal incontinence 12 weeks after the index delivery. There was a significant correlation between the presence of anal sphincter defect and anal incontinence. Six years later, 11 of 54 females reported signs of anal incontinence: 50 percent of females with anal sphincter defect and only 8.1 percent of females without (P = 0.002). Large defects were more frequently associated with anal incontinence. Anal incontinence after the index vaginal delivery also was significantly associated with anal incontinence six years later. Multivariate analysis showed anal sphincter defect to be the only variable predictive of anal incontinence (odds ratio, 10.5; 95 percent confidence interval, 2.1- 52.4). CONCLUSIONS: Anal sphincter defects detected after the first vaginal delivery appear as the main risk factor for anal incontinence six years later.展开更多
文摘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.
文摘PURPOSE: This study was designed to investigate the long- term consequences of anal sphincter defects detected after a first vaginal delivery. METHODS:A cohort of 197 primiparous females was evaluated for anal continence and anal sphincter defects in 1997. In June 2003 (6 years later), a postal questionnaire was sent to 74 females of this cohort, and answers from 54 (73 percent) were analyzed. RESULTS: In 1997, a transanal ultrasound found 66 anal sphincter defects (33.5 percent). Twenty- one females (10.6 percent) had persistent signs of anal incontinence 12 weeks after the index delivery. There was a significant correlation between the presence of anal sphincter defect and anal incontinence. Six years later, 11 of 54 females reported signs of anal incontinence: 50 percent of females with anal sphincter defect and only 8.1 percent of females without (P = 0.002). Large defects were more frequently associated with anal incontinence. Anal incontinence after the index vaginal delivery also was significantly associated with anal incontinence six years later. Multivariate analysis showed anal sphincter defect to be the only variable predictive of anal incontinence (odds ratio, 10.5; 95 percent confidence interval, 2.1- 52.4). CONCLUSIONS: Anal sphincter defects detected after the first vaginal delivery appear as the main risk factor for anal incontinence six years later.
