Fecal incontinence: a review of prevalence and obstetric risk factors

被引:15
|
作者
Wang, A
Guess, M
Connell, K
Powers, K
Lazarou, G
Mikhail, M
机构
[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Bronx, NY 10467 USA
[2] Yale Univ, Sch Med, Dept Obstet & Gynecol, Div Urogynecol, New Haven, CT 06520 USA
[3] Bronx Lebanon Hosp Ctr, Dept Obstet & Gynecol, Bronx, NY 10457 USA
关键词
anal incontinence; fecal incontinence; obstetrics;
D O I
10.1007/s00192-005-1338-x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:253 / 260
页数:8
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