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Relationships between the results of anorectal investigations and symptom severity in patients with faecal incontinence

Purpose Anorectal dysfunction is the focus of diagnostic investigations for faecal incontinence. However, severity of incontinence and anorectal investigation results can be discordant. The aim of this study was to define the relationships between anorectal investigation results and incontinence sev...

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Bibliographic Details
Published in:International journal of colorectal disease 2019-08, Vol.34 (8), p.1445-1454
Main Authors: Heitmann, P. T., Rabbitt, P., Schloithe, A., Patton, V., Skuza, P. P., Wattchow, D. A., Dinning, P. G.
Format: Article
Language:English
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Summary:Purpose Anorectal dysfunction is the focus of diagnostic investigations for faecal incontinence. However, severity of incontinence and anorectal investigation results can be discordant. The aim of this study was to define the relationships between anorectal investigation results and incontinence severity to determine which measures, if any, were predictive of incontinence severity. Methods Patients presenting for investigation of faecal incontinence completed a symptom questionnaire, anorectal manometry, rectal sensation, pudendal nerve terminal motor latency, and endoanal ultrasound. Bivariate analyses were conducted between the Jorge-Wexner score and investigation results. Subgroup analyses were performed for gender and symptom subtypes (urge, passive, mixed). A multiple regression analysis was performed. Results Five hundred and thirty-eight patients were included. There were weak correlations between the Jorge-Wexner score and maximal squeeze pressure [ r  = − 0.24, 95%CI(− 0.31, − 0.16), p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-019-03331-0