[Multivariate analysis of clinical signs, parameters of anorectal manometry, defecography, transit time of radiopaque markers in 76 patients complaining of fecal incontinence].
The aim of this study was to evaluate clinical symptoms, disease past-history, and parameters of anorectal manometry, defecography, and radiopaque pellet transit time in anal incontinence by multivariate analysis. We studied 76 patients, 68 women and 8 men, who complained of anal incontinence, excluding that due to obstetrical lesions. All patients were asked to complete a standard questionnaire. Results indicated that: a) hemorrhoidectomy, hysterectomy, and cholecystectomy appeared to play a role, b) daily incontinence for air or liquid stools is more frequent after hemorrhoidectomy, c) decreased resting pressure of the upper part of the anal canal was observed mainly after hysterectomy, d) decreased resting pressure of the upper part of the anal canal could be a factor of poor prognosis after treatment, e) anal incontinence in men was secondary to traumatic lesions of the anal sphincter in 7 of 8 cases.
Groupe de Biochimie et de Physiopathologie Digestive et Nutritionnelle, Hôpital Charles-Nicolle, Rouen.
A M
AM
Leroi
T
T
Brunat
I
I
Berkelmans
J Y
JY
Touchais
P
P
Czernichow
J
J
Weber
P
P
Denis
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000009:adverse effects; D005242:Fecal Incontinence / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D005260:Female; D005772:Gastrointestinal Transit / Q000502:physiology*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography
Analyse multifactorielle des signes cliniques, des paramètres de la manométrie anorectale, de la défécographie, du temps de transit des marqueurs radio-opaques chez 76 patients se plaignant d'incontinence anale.