Gastrointestinal Tract - Original Article

Effect of gender on the etiology of fecal incontinence: Retrospective analysis of a tertiary referral center in Turkey

Volume 30 · Issue 9 Publish Date: September 15, 2019
Sena Tokay Tarhan Özlen Atuğ Adnan Giral Neşe İmeryüz
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Turkish Journal of Gastroenterology

Volume 30 · Issue 9

Pages: 782-788

History

Published Online: September 15, 2019

Copyright © 2019 Sena Tokay Tarhan, Özlen Atuğ, Adnan Giral, Neşe İmeryüz

Sena Tokay Tarhan
Department of Internal Medicine, Marmara University School of Medicine, İstanbul, Turkey
Özlen Atuğ
Department of Internal Medicine Marmara University School of Medicine İstanbul Turkey
Adnan Giral
Department of Internal Medicine Marmara University School of Medicine İstanbul Turkey
Neşe İmeryüz
Department of Internal Medicine Marmara University School of Medicine İstanbul Turkey
Tokay Tarhan, S., Atuğ, Özlen, Giral, A., & İmeryüz, N. (2019). Effect of gender on the etiology of fecal incontinence: Retrospective analysis of a tertiary referral center in Turkey. Turkish Journal of Gastroenterology, 30(9), 782–788. https://doi.org/10.5152/tjg.2019.18923
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Abstract

Background/Aims: Anorectal diseases, including fecal incontinence, are prevalent and have an enormous impact on the quality of life. Therefore, investigating their etiological factors may help to reduce the incidence and/or the severity of the underlying diseases. Materials and Methods: Referral complaints (constipation, strained defecation, and incontinence) and medical and anorectal manometry records of 883 (562 female/321 male, ages 45.17±1.00 and 48.41±0.63 years, respectively) patients were evaluated retrospectively. Maximal resting pressure (MRP) and maximal squeeze pressure (MSP) measured by stationary pull-through technique, volume of rectoanal inhibitory reflex, and sensory threshold to rectal balloon distention (ST) were obtained by water perfusion system. Data were compared according to referral complaints, age, gender, parity, and underlying diseases. Results: Incontinence was the most frequent referral complaint in 61.2% of females and 67.6% of males. MRP and MSP were significantly lower in incontinent females than in the other groups. In incontinent males, MSP was lower than the strained defecation group, and ST was higher than the constipation group. Age was negatively correlated with MRP for both of the genders and in all groups. Obstetric trauma (85%) and number of parity (3.40±2.59) were significantly higher in incontinent females. Moreover, the most prevalent underlying disease was diabetes in incontinent females (13.7%) and neurological diseases, including traumas, in incontinent males (41.5%). Conclusion: Increasing awareness of labor safety, controlling diabetes mellitus, and preventing obstetric traumas may reduce the prevalence of fecal incontinence.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 30 · Issue 9
Pages 782-788
DOI 10.5152/tjg.2019.18923
History
Published Online September 15, 2019
Copyright
Copyright (c) 2019 Sena Tokay Tarhan, Özlen Atuğ, Adnan Giral, Neşe İmeryüz
Affiliations
Sena Tokay Tarhan
Department of Internal Medicine, Marmara University School of Medicine, İstanbul, Turkey
Özlen Atuğ
Department of Internal Medicine Marmara University School of Medicine İstanbul Turkey
Adnan Giral
Department of Internal Medicine Marmara University School of Medicine İstanbul Turkey
Neşe İmeryüz
Department of Internal Medicine Marmara University School of Medicine İstanbul Turkey
Cite this Article
Tokay Tarhan, S., Atuğ, Özlen, Giral, A., & İmeryüz, N. (2019). Effect of gender on the etiology of fecal incontinence: Retrospective analysis of a tertiary referral center in Turkey. Turkish Journal of Gastroenterology, 30(9), 782–788. https://doi.org/10.5152/tjg.2019.18923
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