Fecal incontinence: a review of prevalence and obstetric risk factors View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-05

AUTHORS

Andrea Wang, Marsha Guess, Kathleen Connell, Kenneth Powers, George Lazarou, Magdy Mikhail

ABSTRACT

Anal incontinence (AI) is a significant problem that causes social and hygienic inconvenience. The true prevalence of AI is difficult to estimate due to inconsistencies in research methods, but larger studies suggest a rate of 2-6% for incontinence to stool. There is a significant association between sonographically detected anal sphincter defects and symptoms of AI. The intrapartum factors most consistently associated with a higher risk of AI include: forceps delivery, third or fourth degree tears, and length of the second stage of labor. Fetal weight of > 4,000 g is also associated with AI. Repair of the sphincter can be performed in either an overlapping or an end-to-end fashion, with similar results for both methods. The role of cesarean delivery for the prevention of AI remains unclear, and further study should be devoted to this question. More... »

PAGES

253-260

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00192-005-1338-x

    DOI

    http://dx.doi.org/10.1007/s00192-005-1338-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1023004318

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15973465


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