E-ISSN 2148-5607
Original Article
Effect of Gender on the Etiology of Fecal Incontinence: Retrospective Analysis of a Tertiary Referral Center in Turkey
1 Department of Internal Medicine, Marmara University School of Medicine, İstanbul, Turkey  
2 Department of Internal Medicine, Marmara University School of Medicine, İstanbul, Turkey; Department of Gastroenterology, Marmara University School of Medicine, İstanbul, Turkey  
Turk J Gastroenterol ; : -
DOI: 10.5152/tjg.2019.18923
Key Words: Anorectal manometry, fecal incontinence, constipation, gender
Abstract

Background/Aims: Ano-rectal diseases, including fecal incontinence are prevalent and have enormous impact on quality of life. To investigate etiological factors may help to prevent incidence and/or severity of diseases. 

 

Materials and Methods: Referral complaints (constipation, strained defecation, incontinence), medical and ano-rectal manometry records of 883 patients, (562 female/321 male, 45.17±1.00 and 48.41±0.63 years old respectively) were evaluated retrospectively. Maximal resting pressure (MRP), maximal squeeze pressure (MSP) measured by stationary pull-through technique, volume of recto-anal inhibitory reflex (RAIR) and sensory threshold to rectal balloon distention (ST), were obtained by water perfusion system. Data was compared according to referral complaints, age, gender, parity and underlying diseases. 

 

Results: Incontinence was the referral complaint in % 61.2 of women, % 67.6 of men. MRP and MSP were significantly lower in incontinent females as compared to the other groups. In incontinent males, MSP was lower than strained defecation group and ST was higher than constipation group. Age negatively correlated with only MRP in both sexes and in all groups. Obstetric trauma (85%) and number of parity (3.40±2.59) were significantly higher in the incontinent women. Besides, the most prevalent underlying disease was diabetes in incontinent women (13.7%) and neurological diseases including traumas in incontinent men (41.5%).

 

Conclusion: Increasing awareness of labor safety, controlling of diabetes mellitus and prevention of obstetric traumas may reduce prevalence of fecal incontinence.

 

Cite this article as: Tokay Tarhan S, Atuğ Ö, Giral A, İmeryüz N. Effect of Gender on the Etiology of Fecal Incontinence: Retrospective Analysis of a Tertiary Referral Center in Turkey. Turk J Gastroenterol 2019; DOI: 10.5152/tjg.2019.18923

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