Pudendal nerve testing does not contribute to surgical decision making following anorectal testing in patients with faecal incontinence

Purpose Faecal incontinence (FI) is a debilitating condition, which affects approximately 2–17 % of the population. Clinical assessment, physiological testing and imaging are usually used to evaluate the pathophysiology and guide management of FI. By analysing patient characteristics, symptoms and i...

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Bibliographic Details
Published in:International journal of colorectal disease 2016-08, Vol.31 (8), p.1437-1442
Main Authors: Cooper, Edward A., De-Loyde, Katie J., Young, Christopher J., Shepherd, Heather L., Wright, Caroline
Format: Article
Language:English
Subjects:
Biofeedback training
Care and treatment
Clinical Decision-Making
Decision-making
Fecal Incontinence - physiopathology
Fecal Incontinence - surgery
Female
Gastroenterology
Hepatology
Humans
Incontinence
Internal Medicine
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Original Article
Physiological aspects
Proctology
Pudendal Nerve - physiopathology
Pudendal Nerve - surgery
Surgeons
Surgery
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Summary:Purpose Faecal incontinence (FI) is a debilitating condition, which affects approximately 2–17 % of the population. Clinical assessment, physiological testing and imaging are usually used to evaluate the pathophysiology and guide management of FI. By analysing patient characteristics, symptoms and investigative findings, the aim of this study was to identify which patient characteristics and investigations influence patient management. Methods Data was prospectively collected for all patients with FI presenting to a single surgeon at the Royal Prince Alfred Hospital, Sydney, between March 2002 and September 2013. Continuous data was analysed using the independent T-test. Categorical data was analysed using chi-square tests and logistic regression. Results Three hundred ninety-eight patients were reviewed; 96 % were female and the mean age was 57 years. Surgical intervention was recommended for 185 patients (47 %) should biofeedback fail. Independent predictors for surgical recommendation were prolapse ( p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-016-2617-3