Incidence of anismus in fecal incontinence patients evaluated at a Coloproctology service

Author:

Rotta Larissa Sokol1,Lima Doryane Maria dos Reis1234,Chiumento Dayanne Alba1,Sagae Univaldo Etsuo1356

Affiliation:

1. Faculdade Assis Gurgacz (FAG), Cascavel, PR, Brazil

2. Universidade Federal do Ceará (UFC), Fortaleza, CE, Brazil

3. Gastroclínica Cascavel, Cascavel, PR, Brazil

4. Sector of Anorectal Physiology, Gastroclínica Cascavel, Cascavel, PR, Brazil

5. Universidade de São Paulo (USP), São Paulo, SP, Brazil

6. Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, PR, Brazil

Abstract

Abstract Introduction Fecal incontinence is defined as a loss of bladder and bowel control. Anismus is characterized by a paradoxical contraction or inappropriate relaxation of pelvic floor muscles while trying to evacuate, being usually associated with constipation (60%). However, anismus can be present in 46% of patients with fecal incontinence. Objective To analyze the incidence of anismus in patients diagnosed with fecal incontinence in an outpatient Coloproctology Clinic of Paraná. Methodology A retrospective study of 66 patients diagnosed with fecal incontinence at Coloproctology Clinic, Hospital São Lucas, from February 2012 to October 2013. Patients were evaluated by clinical history and examination by anorectal electromanometry. Results The mean age of participants was 56 years. Regarding the evaluation by anorectal electromanometry, mean resting pressure, contraction pressure and sustained contraction pressure were, respectively, 35.18 mmHg, 90.53 mmHg and 58 mmHg. Anismus was seen in 42.42% of patients. Conclusion Through this study, it can be inferred that the incidence of anismus has a relevant impact on patients diagnosed with fecal incontinence. Our results corroborate the importance of the concomitant management of anorectal continence mechanism changes, in order to emphasize the clinical benefits and improved quality of life for patients with fecal incontinence.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology

Reference21 articles.

1. Correlação entre achados manométricos e sintomatologia na incontinência fecal;Balsamo;Rev Bras Coloproctol,2011

2. Fecal incontinence;Oliveira;J Bras Gastroenterol,2006

3. Fecal Incontinence: prevalence, severity and quality of life data from an outpatient gastroenterology practice;Alsheik;Gastr Res Pract,2012

4. Differences in the pressure of canal anal and rectal sensitivity in patients with fecal incontinence, chronic constipation and healthy subjects;Ciriza De Los Ríos;Rev Esp Enferm Dig,2010

5. Neuropatia pudenda: correlação com dados demográficos, índice de gravidade e parâmetros pressóricos em pacientes com incontinência fecal;Carvalho;Arq Gastroenterol,2002

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