medigraphic.com
ISSN 2078-7162 (Print)

2016, Number S1

<< Back Next >>

Rev Cub de Med Fis y Rehab 2016; 8 (S1)

Fecal incontinence in women at middle age. Characteristic and risk factors

Díaz AD, Rodríguez AEM, Martínez TJC, Alerm GAJ

Language: Spanish
References: 30
Page: 51-62
PDF size: 126.29 Kb.


ABSTRACT

Introduction: the impact of the fecal incontinence about the quality of life in climacterics women is important because it seems a narrow association between the menopause and this entity.
Objective: to describe characteristic of the fecal incontinence in women of medium age. Identify frequency of risk factors, association with other dysfunctions and possible causes of the incontinence.
Method: exploratory-descriptive, observational, longitudinal investigation included 22 women of medium age, risk factors were studied, muscular tone, characteristic of the fecal incontinence, graveness (Jorge-Wexner scale). Were considered frequencies for qualitative variables, medium and IC for quantitative being compared by means of Levene, test T, and Mann Whitney and Wilcoxon the two lines for significance of 0,05. Consent was requested, guaranteeing confidentiality for results.
Results: women prevailed bigger than 50 years (54 %). All had weakness of the pelvic floor (note 2 in 72,7 %) without differences for age (p=0,123) and moderate quality without significance for ages (p=0,883). Daily frequency prevailed, (77,3 %), passive (40,9 %), solid (54,5 %), and alone "messin" in older. Diabetes and instrumental parturiencies were risk factors.
Conclusions: the muscular note was low in all the patients. The moderate fecal incontinence prevailed, the women without risks and inside those of risk, the diabetes mellitus, arterial hypertension in smaller degree and obesity, being more represented in those older than 50 years. The incontinence causes cannot generally know more frequently associated to surgical interventions.


REFERENCES

  1. Couto Núñez D. Nápoles Méndez D. Síndrome climatérico en mujeres de edad mediana desde un enfoque médico social, Hospital General Docente Dr. Juan Bruno Zayas Alfonso. Santiago de Cuba, 2003 (101).

  2. Díaz Llanes G. La mujer de edad mediana y su satisfacción con la vida en poblaciones cubanas. Rev Cubana Med Gen Integr. 2007.

  3. Mínguez Pérez M. Calidad de vida en los trastornos funcionales digestivos. Gastroenterol Hepatol. 2004;27(Supl 3):39-48.

  4. Wainstein CG, Quera R. Incontinencia fecal desafío permanente. Rev Med Clin Condes. 2013; 24(2) 249-261.

  5. Whitehead WE, Wald A, Diamant E, Enck E, Pemberton J, Rao S. Functional disorders of the anus and rectum. En: Drosman D, Corazziari E, Talley N, Thompson W, Withehead W, editors. Roma II. The functional gastrointestinal disorders. McLean Degnon Associates, 2000. p. 483-532.

  6. Freeman R. Can we prevent childbirth-related pelvic floor dysfunction? BJOG. 2013; 120:137-40.

  7. Lacima G, Espuña M. Progresos en gastroenterología. Patología del suelo pélvico. Gastroenterol Hepatol. 2008; 31(9):587-95.

  8. Bener A, Saleh N, Burgut FT. Prevalence and determinants of fecal incontinence in premenopausal women in an Arabian community. Climacteric. 2008 Oct;11(5):429-35.

  9. Rodríguez Adams EM, Alerm González A, Casal Hechevarria M C. Calidad de vida en incontinencia urinaria. En: tratamiento rehabilitador integral de la disfunción del suelo pélvico. Cap. 4. Editorial Académica Española, 2012. p. 20.

  10. Rodríguez A, Polavieja P, Reviriego J, Serrano M. Prevalence of the metabolic syndrome and consistency in its diagnosis in type 2 diabetic patients in Spain. Endocrinol Nutr. 2010; 57(2):60-70.

  11. Sixth report of the Joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intrn Med. 1997; 157(21):2417.

  12. Rodríguez Adams E. M .Calidad de vida y percepción de salud en mujeres de mediana edad. Invest Medicoquir. 2012; 4 (1): 244-259.

  13. Eypasch E, Williams JI, Wood-Dauphinee S, Ure BM, Schmulling C, Neugebauer E, et al. Gastrointestinal quality of life index: development, validation and application of a new instrument. Br J Surg. 1995;2:216-22.

  14. Hagen S, Stara D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2011; 7:12. CDOO3882.

  15. Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993;36:77-97.

  16. Hannaway CD, Hull TL. Fecal incontinence. Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland. Obstet Gynecol Clin North Am. 2008 Jun;35(2):249-69.

  17. Anido Escobar V, Díaz Drake Z, Martínez López R. García Menocal J, García Jordá E. Estudio de la motilidad anorrectal en mujeres, con incontinencia fecal. Rev Habanera Ciencias Méd. 2010Dic; 9(5).

  18. Ministerio de Salud Pública. Anuario Estadístico de Salud 2015. Dirección de Registros Médicos y Estadísticas de Salud. La Habana, 2016.

  19. Rodríguez Adams EM. Factores de riesgo no obstétrico y calidad de vida en mujeres de edad mediana con incontinencia urinaria. Rev Cubana Obstet Ginecol. 2014; 40(1).

  20. Nyam M, Pemberton JH. Long-term results of lateral internal sphincterotomy for chronic anal fissure with particular reference to incidence of fecal incontinence. Dis Colon Rectum. 1999;42:1306-10.

  21. Remes-Troche JM. Incontinencia fecal en adultos mayores. Rev Invest Clín. 2004;56(1):21-6.

  22. Wang JY, Patterson TR, Hart SL, Varma MG. Fecal incontinence: does age matter? Characteristics of older vs. younger women presenting for treatment of fecal incontinence. Dis Colon Rectum. 2008 Apr;51(4):426-31.

  23. Organización Panamericana de la Salud. Unidad género, etnia y salud. Indicadores Básicos para el análisis de la equidad de género en salud. Washington, DC: OPS, 2004. (Serie Paltex).

  24. Handa VL, Blomquist JL, Knoepp LR, Hoskey KA, McDermott KC, Muñoz A. Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth. Obstet Gynecol. 2011 Oct; 118(4):777-84.

  25. Byung-Cheol L. Jongsoon L. .Cellular and molecular players in adipose tissue inflammation in the development of obesity-induced insulin resistance. Biochim Biophys Acta. 2014; 1842: 446-62.

  26. Piñera Crehuet S, González Pérez U, Bayarre Vea H. Construcción de un cuestionario de autovaloración de la calidad de vida en pacientes con hipertensión arterial. Trabajo de terminación de Maestría en Psicología de la Salud. Facultad de Salud Pública. Instituto Superior de Ciencias Médicas de La Habana, 1995.

  27. Cheetham MJ, Malouf AJ, Kamm M. Fecal incontinence. Gastroenterol Clin N Am. 2001;30:115-30.

  28. Boreham MK, Richter HE, Kenton KS, Nager CW, Gregory WT, Aronson MP, et al. Anal incontinence in women presenting for gynecologic care: prevalence, risk factors, and impact upon quality of life. Am J Obstet Gynecol. 2005;192:1637- 42.

  29. Norton C, Cody J D. Hosker G. Biorretroalimentacion y/o ejercicios efinterianos para el tratamiento de la incontinencia fecal en adultos. Cochrane Review, 2007.

  30. Martínez JC. Caracterización de mujeres en edad mediana con incontinencia urinaria y respuesta al tratamiento rehabilitador. Rev Cubana Obstet Ginecol. 2014; 40(1) La Habanaene-mar.




2020     |     www.medigraphic.com