Artículos de revistas
Fecal Incontinence In Postmenopausal Women: Prevalence, Severity And Associated Factors [incontinência Fecal Em Mulheres Na Pós-menopausa: Prevalência, Intensidade E Fatores Associados]
Registro en:
Arquivos De Gastroenterologia. , v. 43, n. 2, p. 102 - 106, 2006.
42803
2-s2.0-33748752122
Autor
De Oliveira S.C.M.
Pinto-Neto A.M.
Conde D.M.
Goes J.R.N.
Santos-Sa D.
Costa-Paiva L.
Institución
Resumen
Background - Fecal incontinence occurs more frequently in the female population and it becomes more prevalent with increasing age. There are few studies that have assessed the prevalence and severity of postmenopausal women. Aims - To investigate fecal incontinence. Patients and Methods - A cross-sectional study was performed on 100 postmenopausal women over the age of 45. Sociodemographic and clinical characteristics were evaluated, and a descriptive analysis of these characteristics was carried out. The prevalence of fecal incontinence was estimated. St. Mark's incontinence score was applied to study the severity of symptoms associated with fecal incontinence. The score was then categorized according to the tertile and symptom severity was classified as mild, moderate or severe incontinence. Bivariate and multivariate analyses were used to study the association between fecal incontinence and its likely determinants, employing the prevalence ratio. Confidence interval was set at 95%. Results - The mean age of the patients was 58.9 ± 5.9 years (range, 46-76 years). The prevalence rate was 15% for fecal incontinence. Of incontinent patients, 60% had mild incontinence. After multivariate analysis, factors associated with fecal incontinence was history of forceps delivery (prevalence ratio: 7.80; 95% confidence interval:2.38-25.55). Conclusions - The prevalence of fecal incontinence was high in postmenopausal women. Data suggest that most women presented mild fecal incontinence. The history of forceps delivery was associated with fecal incontinence. 43 2 102 106 Allen, R.E., Hosker, G.L., Smith, A.R.B., Warrell, D.W., Pelvic floor damage and childbirth: A neuropsychological study (1990) Br J Obstet Gynaecol, 97, pp. 770-779 Almeida, P.M., Wickerhauser, H., (1991) O Critério ABA/ABIPEME - Em Busca de Uma Atualização, , São Paulo: Associação Brasileira dos Institutos de Pesquisa de Mercado Brambilla, D.J., McKinklay, S.M., Johannes, C.B., Defining the perimenopause for applications in epidemiological investigations (1994) Am J Epidemiol, 140, pp. 1091-1095 Buchanan, G.N., Nicholls, T., Solanki, D., Kamm, M.A., Investigation of faecal incontinence (2001) Hosp Med, 62, pp. 533-537 Campbell, A.J., Reiken, J., Mc Cosh, L., Incontinence in the elderly: Prevalence and prognosis (1985) Age Ageing, 14, pp. 65-70 Chiarelli, P., Murphy, B., Cockburn, J., Fecal incontinence after high-risk delivery (2003) Obstet Gynecol, 102, pp. 1299-1305 Curi, L.A., Genoud, M.T., Causas más frecuentes de incontinencia fecal en nuestro medio (2000) Acta Gastroenterol Latinoam, 30, pp. 165-168 De Lillo, A.R., Rose, S., Functional bowel disorders in the geriatric patient: Constipation, fecal impaction, and fecal incontinence (2000) Am J Gastroenterol, 95, pp. 901-905 Donnelly, V., O'Connell, P.R., O'Herlihy, C., The influence of oestrogen replacement on faecal incontinence in postmenopausal women (1997) Br J Obstet Gynaecol, 104, pp. 311-315 Eason, E., Labrecque, M., Marcoux, S., Mondor, M., Anal incontinence after childbirth (2002) CMAJ, 166, pp. 326-330 Faltin, D.L., Sangalli, M.R., Curtin, F., Morabia, A., Weil, A., Prevalence of anal incontinence and other anorectal symptoms in women (2001) Int Urogynecol J, 12, pp. 117-121 Giebel, G.D., Lefering, R., Tridl, H., Blochi, H., Prevalence of fecal incontinence: What can be expected? (1998) Int J Colorect Dis, 13, pp. 73-77 Jackson, S.L., Weber, A.M., Hull, T.L., Mitchinson, A.R., Walters, M.D., Fecal incontinence in women with urinary incontinence and pelvic organ prolapse (1997) Obstet Gynecol, 89, pp. 423-427 Kok, A.L.M., Voohorst, F.J., Burger, C.W., Van Houten, P., Kenemans, P., Jansens, J., Urinary and faecal incontinence in community-residing elderly women (1992) Age Ageing, 21, pp. 211-215 Lamah, M., Kumar, D., Fecal incontinence (1999) Dig Dis Sci, 44, pp. 2488-2499 Madoff, R.D., Williams, J.G., Caushaj, P.F., Fecal incontinence (1992) N Engl J Med, 4, pp. 1002-1007 Nelson, R., Norton, N., Cautley, E., Furner, S., Community-based prevalence of anal incontinence (1995) JAMA, 274, pp. 559-561 Nelson, R.L., Furner, S., Jesudason, V., Fecal incontinence in Wisconsin nursing homes (1998) Dis Colon Rectum, 41, pp. 1226-1229 Nelson, R.L., Epidemiology of fecal incontinence (2004) Gastroenterology, 126, pp. S3-S7 Ng, S.C., Chen, Y.C., Lin, L.Y., Chen, G.D., Anorectal dysfunction in women with urinary incontinence or lower urinary tract symptoms (2002) Int J Gynaecol Obstet, 77, pp. 139-145 Perry, S., Shaw, C., McGrother, C., Matthews, R.J., Assassa, R.P., Dallosso, H., Williams, K., Castleden, C.M., Prevalence of fecal incontinence in adults aged 40 years or more living in the community (2002) Gut, 50, pp. 480-484 Rizk, D.E., Hassan, M.Y., Shaheen, H., Cherian, J.V., Micallef, R., Dunn, E., The prevalence and determinants of health care-seeking behavior for fecal incontinence in multiparous United Arab Emirates females (2001) Dis Colon Rectum, 44, pp. 1850-1856 (1999) SAS [Computer Program]. Version 8.2, , Cary: SAS Institute Schiller, L.R., Constipation and fecal incontinence in the elderly (2001) Gastroenterol Clin N Am, 30, pp. 497-515 Shull, B.L., Clinical evaluation of women with pelvic support defects (1993) Clin Obstet Gynecol, 36, pp. 939-951 Skov, T., Deddens, J., Petersen, M.R., Endahl, L., Prevalence proportion ratios: Estimation and hypothesis testing (1998) Int J Epidemiol, 27, pp. 91-95 Teunissen, T.A.M., Lagro-Janssen, A.L.M., Van Den Bosch, W.J.H.M., Van Den Hoogen, H.J.M., Prevalence of urinary, fecal and double incontinence in the elderly living at home (2004) Int Urogynecol J, 15, pp. 10-13 Vaizey, C.J., Carapeti, E., Cahill, J.A., Kamm, M.A., Prospective comparison of faecal incontinence grading systems (1999) Gut, 44, pp. 77-80