The online version of this article (https://doi.org/10.1007/s00384-018-3051-5) contains supplementary material, which is available to authorized users.
To study the distribution of subtypes and symptoms of fecal incontinence in the general Dutch population.
We performed a cross-sectional study in a representative sample of the general Dutch population. All respondents (N = 1259) completed the Groningen Defecation and Fecal Continence questionnaire. We assigned the respondents to a so-called healthy subgroup (n = 1008) and a comorbidity subgroup (n = 251). The latter subgroup comprised the respondents who reportedly suffered from chronic diseases and who had undergone surgery known to influence fecal continence. We defined fecal incontinence according to the Rome IV criteria.
The combination of urge fecal incontinence and soiling was the most frequent form of fecal incontinence in the total study group, the “healthy” subgroup, and the comorbidity subgroup (49.0, 47.3, and 51.5%). Passive fecal incontinence was the least frequent form of fecal incontinence in all three groups (4.0, 5.4, and 2.2%). The prevalence and severity of fecal incontinence was significantly higher in the comorbidity subgroup than in the “healthy” subgroup. Only in the comorbidity subgroup did the fecally incontinent respondents feel urge sensation significantly less often before defecating than their fecally continent counterparts (16.5 versus 48.8%, P < 0.001).
Urge fecal incontinence combined with soiling is commonest in the general Dutch population. Chronic diseases and bowel and pelvic surgery both increase and aggravate fecal incontinence.
ESM 1 (PDF 387 kb)384_2018_3051_MOESM1_ESM.pdf
Cotterill N, Norton C, Avery KN, Abrams P, Donovan JL (2008) A patient-centered approach to developing a comprehensive symptom and quality of life assessment of anal incontinence. Dis Colon rectum 51:82–87
Xu X, Menees SB, Zochowski MK, Fenner DE (2012) Economic cost of fecal incontinence. Dis Colon rectum 55:586–598
Bharucha AE, Dunivan G, Goode PS, Lukacz ES, Markland AD, Matthews CA, Mott L, Rogers RG, Zinsmeister AR, Whitehead WE, Rao SS, Hamilton FA (2015) Epidemiology, pathophysiology, and classification of fecal incontinence: state of the science summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop. Am J Gastroenterol 110:127–136 CrossRefPubMed
Engel AF, Kamm MA, Bartram CI, Nicholls RJ (1995) Relationship of symptoms in faecal incontinence to specific sphincter abnormalities. Int J Color Dis 10:152–155 CrossRef
Ng KS, Sivakumaran Y, Nassar N, Gladman MA (2015) Fecal Incontinence: Community Prevalence and Associated Factors--A Systematic Review. Dis Colon Rectum 58:1194–1209
Meinds RJ, van Meegdenburg MM, Trzpis M, Broens PM (2017) On the prevalence of constipation and fecal incontinence, and their co-occurence, in the Netherlands. Int J Color Dis 32:475–483 CrossRef
Meinds RJ, van Meegdenburg MM, Trzpis M, Broens PM (2016) On the prevalence of constipation and fecal incontinence, and their co-occurrence, in the Netherlands. Int J Color Dis
Central Bureau for Statistics the Netherlands, www.statline.cbs.nl. Accessed 23–09-2016
Drossman DA, Chang L, Chey W, Tack J, Whitehead W (2016) Rome IV: the functional gastrointestinal disorders. Raleigh, NC, Rome foundation CrossRef
Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon rectum 36:77–97
Broens PM, Penninckx FM, Ochoa JB (2013) Fecal continence revisited: the anal external sphincter continence reflex. Dis Colon rectum 56:1273–1281
van Meegdenburg MM, Heineman E, Broens PM (2015) Pudendal neuropathy alone results in urge incontinence rather than in complete fecal incontinence. Dis Colon rectum 58:1186–1193
van Meegdenburg MM, Trzpis M, Broens PMA, Fecal incontinence and parity in the Dutch population: a cross-sectional analysis, United European gastroenterology journal. Accepted for publication: DOI: https://doi.org/10.1177/2050640618760386
Brusciano L, Limongelli P, del Genio G, Sansone S, Rossetti G, Maffettone V, Napoletano V, Sagnelli C, Amoroso A, Russo G, Pizza F, Del Genio A (2007) Useful parameters helping proctologists to identify patients with defaecatory disorders that may be treated with pelvic floor rehabilitation. Tech Coloproctol 11:45–50 CrossRefPubMed
Brusciano L, Limongelli P, del Genio G, Rossetti G, Sansone S, Healey A, Maffettone V, Napolitano V, Pizza F, Tolone S, del Genio A (2009) Clinical and instrumental parameters in patients with constipation and incontinence: their potential implications in the functional aspects of these disorders. Int J Color Dis 24:961–967 CrossRef
- Subtypes and symptoms of fecal incontinence in the Dutch population: a cross-sectional study
Maxime M. van Meegdenburg
Rob J. Meinds
Paul M. A. Broens
- Springer Berlin Heidelberg
Neu im Fachgebiet Chirurgie
e.Med Kampagnen-Visual, Mail Icon II