Fecal incontinence
DRE SUSANNA SCARSI
04.07.2019
Dre Celine Duvoisin
Epidemiology
- Very common
-Under-reported
-True prevalence difficult to assess
-Reported prevalence 0.4%-18%
-F:M 63%:37%
-30% older than 65 years
Bharucha et al - Am J Gastroenterol. -2015
Ditah et al - Clin Gastroenterol Hepatol. - 2014
Definition
•Involuntary loss of rectal contents (feces, gas) through the anal canal and the
inability to postpone an evacuation until socially convenient.
•Fecal incontinence classified as:
opassive incontinence (involuntary discharge without any awareness)
ourge incontinence (discharge despite active attempts to retain contents)
ofecal seepage (leakage of stool with grossly normal continence and evacuation)
Ruiz and Kaiser - World J Gastroenterol -2017
Etiology
Rao et al - Am J Gastroenterol. - 2004
Risk factors
•Older age
•Diarrhea
•Fecal urgency
•Urinary incontinence
•Diabetes mellitus
•Hormone therapy
Bharucha et al - Am J Gastroenterol. -2015
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
1
/
35
100%
