The epidemiology of anal incontinence and symptom severity scoring

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The epidemiology of anal incontinence and symptom severity scoring

For many patients, anal incontinence (AI) is a devastating condition that can lead to social isolation and loss of independence, contributing to a substantial economic health burden, not only for the individual but also for the allocation of healthcare resources. Its prevalence is underestimated because of poor patient reporting, with many unrecorded but symptomatic cases residing in nursing ho...

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Anal Incontinence and Obstetric Anal Sphincter Tears

PURPOSE: To evaluate the prevalence of anal incontinence (AI) in primiparous women five years after their first delivery; to investigate if an 8-12 hour time delay of primary repair affects AI at 1-year follow-up; to study the association between endoanal ultrasonography and anorectal manometry in relation to AI in primiparous women; to evaluate whether an endoanal ultrasonographic derived sphi...

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Is the St. Mark’s Scoring System Suitable for Assessment of Anal Incontinence following Repair of Obstetric Anal Sphincter Injuries (oasis)?

Hypothesis / aims of study Several scoring systems have been designed to quantify and objectively assess anal incontinence in symptomatic patients. The St. Mark’s grading system for fecal incontinence has shown the highest correlation with the physician’s clinical impression when compared to three other grading systems (1). The main focus of continence grading systems is on physical aspects, bu...

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Anal incontinence after childbirth.

BACKGROUND Incontinence of stool and flatus are frequent complications of childbirth. We examined the prevalence and possible causes of these adverse outcomes in a large cohort of women. METHODS We studied 949 pregnant women who gave birth in 5 hospitals in 1995/96 in the province of Quebec. These women, participants in a randomized controlled trial of prenatal perineal massage, completed a s...

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Anal incontinence: evaluation of the anal sphincter by endoscopic ultrasound.

incontinence (gas and liquid stools) shortly after proctologic surgery (fistulectomy). She did not report any obstetric trauma. We performed an anal inspection and a digital rectal examination. There were no anatomical defects, but a severe hypotonic anal sphincter was encountered. Since there is a radial-scanning ultrasound endoscope with frontal vision (Pentax EG3630UR) available in our Unit,...

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ژورنال

عنوان ژورنال: Gastroenterology Report

سال: 2014

ISSN: 2052-0034

DOI: 10.1093/gastro/gou005