Incontinence anale chez la patiente nullipare: données clinique, échographique et manométrique View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-07-07

AUTHORS

V. Ky, X. Barth, F. Mion, S. Roman, H. Damon

ABSTRACT

PurposeThe aim of this study was to clarify the clinical, ultrasound and manometric characteristics of anal incontinence (AI) in nulliparous patients (NPs).Patient and methodsFrom March 1997 to October 2010, 65 NPs were referred for anorectal manometry (ARM) and/or endoanal ultrasound (EAS). Clinical severity and its impact on quality of life (QOL) were assessed. ARM and EAS were performed in 56 and 35 cases, respectively.ResultsThe mean age of the patients was 53 ± 18 years. Twenty patients had a past history of colorectal surgery (CRS): colorectal resection (7%), hemorrhoidectomy (9%), resection of anal fistula (9%) or other (5%). Seventeen patients had a rectal prolapse. 14 of these were external. The mean Jorge-Wexner (JW) score was 11 ± 3. The mean gastro-intestinal quality-of-life index (GIQLI) score was 86 ± 24. Thirteen patients had a sphincter defect. A past history of CRS was not significantly more frequent in the group with defect. Five patients had a defect without a history of CRS. Resting pressure decreased significantly with age and with the presence of sphincter defect.ConclusionOur study confirms the severity of AI and its significant impact on QOL. The presence of sphincter defect reduces resting anal pressure. We also confirm the deleterious role of surgery and chronic inflammatory disease. Finally, the high proportion of our population with rectal prolapse suggests that this should be looked for routinely in NPs. More... »

PAGES

156

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11608-011-0376-8

DOI

http://dx.doi.org/10.1007/s11608-011-0376-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000415693


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