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01-05-2006 | Review Article

Fecal incontinence: a review of prevalence and obstetric risk factors

Authors: Andrea Wang, Marsha Guess, Kathleen Connell, Kenneth Powers, George Lazarou, Magdy Mikhail

Published in: International Urogynecology Journal | Issue 3/2006

Abstract

Anal incontinence (AI) is a significant problem that causes social and hygienic inconvenience. The true prevalence of AI is difficult to estimate due to inconsistencies in research methods, but larger studies suggest a rate of 2–6% for incontinence to stool. There is a significant association between sonographically detected anal sphincter defects and symptoms of AI. The intrapartum factors most consistently associated with a higher risk of AI include: forceps delivery, third or fourth degree tears, and length of the second stage of labor. Fetal weight of > 4,000 g is also associated with AI. Repair of the sphincter can be performed in either an overlapping or an end-to-end fashion, with similar results for both methods. The role of cesarean delivery for the prevention of AI remains unclear, and further study should be devoted to this question.

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Title: Fecal incontinence: a review of prevalence and obstetric risk factors
Authors: Andrea Wang
Marsha Guess
Kathleen Connell
Kenneth Powers
George Lazarou
Magdy Mikhail
Publication date: 01-05-2006
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2006
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-005-1338-x

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Fecal incontinence: a review of prevalence and obstetric risk factors

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