title: Validation of the Wexner scale in women with fecal incontinence in a Turkish population.
abstract: OBJECTIVE
  The main aim of this study was to validate the Turkish translated version of the Wexner scale.
  
  
  METHODS
  After establishing the test-retest reliability and internal consistency of the Turkish version of Wexner scale on 31 patients, total and subscale scores and anal manometric measurements of 60 participants were performed. Correlation between Wexner scale scores and manometric measurement values were analyzed and those values of patients with or without anal incontinence symptoms were compared.
  
  
  RESULTS
  Of the 60 participants, 47 (78%) showed no signs or symptoms of anal incontinence. Wexner scale showed a high internal consistency (Cronbach's alpha = 0.816). Total and each subscale score of Wexner scale showed strong correlation with resting and maximal squeeze pressures and between each other (p < 0.005). The pressure values were significantly less in asymptomatic patients compared to patients with any degree of symptoms (p < 0.05).
  
  
  CONCLUSIONS
  The Turkish translated version of the Wexner scale is a reliable, consistent, and valid instrument to evaluate anal functions in women with anal incontinence for Turkish speaking women. Total and subscale scores of the Wexner scale and anal manometric measurements showed significant correlation.
authors.affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, Istanbul, Turkey.
authors.forename: Cetin
authors.initials: C
authors.lastname: Cam
authors.forename: Selcuk
authors.initials: S
authors.lastname: Selcuk
authors.forename: Mehmet Resit
authors.initials: MR
authors.lastname: Asoglu
authors.forename: Niyazi
authors.initials: N
authors.lastname: Tug
authors.forename: Yesim
authors.initials: Y
authors.lastname: Akdemir
authors.forename: Pınar
authors.initials: P
authors.lastname: Ay
authors.forename: Ates
authors.initials: A
authors.lastname: Karateke
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000502:physiology* / Q000503:physiopathology*; D005242:Fecal Incontinence / Q000503:physiopathology* / Q000523:psychology; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D014421:Turkey