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Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel

OBJECTIVES: This study aimed to elucidate the actual state of anal incontinence (AI), fecal incontinence (FI), and the associated factors in Japanese medical personnel. METHODS: A questionnaire was completed by Japanese medical personnel after listening to lectures on AI. AI was defined as involunta...

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Autores principales: Maeda, Kotaro, Koide, Yoshikazu, Katsuno, Hidetoshi, Hanai, Tsunekazu, Masumori, Koji, Matsuoka, Hiroshi, Tajima, Yosuke, Endo, Tomoyoshi, Cheong, Yeong Cheol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Society of Coloproctology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553347/
https://www.ncbi.nlm.nih.gov/pubmed/34746503
http://dx.doi.org/10.23922/jarc.2021-025
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author Maeda, Kotaro
Koide, Yoshikazu
Katsuno, Hidetoshi
Hanai, Tsunekazu
Masumori, Koji
Matsuoka, Hiroshi
Tajima, Yosuke
Endo, Tomoyoshi
Cheong, Yeong Cheol
author_facet Maeda, Kotaro
Koide, Yoshikazu
Katsuno, Hidetoshi
Hanai, Tsunekazu
Masumori, Koji
Matsuoka, Hiroshi
Tajima, Yosuke
Endo, Tomoyoshi
Cheong, Yeong Cheol
author_sort Maeda, Kotaro
collection PubMed
description OBJECTIVES: This study aimed to elucidate the actual state of anal incontinence (AI), fecal incontinence (FI), and the associated factors in Japanese medical personnel. METHODS: A questionnaire was completed by Japanese medical personnel after listening to lectures on AI. AI was defined as involuntary loss of feces or flatus. RESULTS: A total of 463 persons (mean age, 35.6 years; range, 20-91; male/female/no answer, 132/324/7) participated in the questionnaire. AI occurred in 34.4% of 450 participants (flatus/liquid stool/solid stool: 30.4%/3.6%/0.4%). AI was significantly more prevalent in females (male/female: 15.5%/42.7%, p < 0.001). AI and FI occurred significantly more prevalent in participants aged ≧40 years (p < 0.024). AI was significantly associated with childbirth, frequency of childbirth (more than three times), vaginal delivery, urinary incontinence, the style of urination/defecation, and a history of gynecologic surgery and systemic diseases (p < 0.05). Female gender and age as well as urinary incontinence and inability to defecate separately in female and previous colorectal disease and/or surgery in male were risk factors of AI by multivariate analysis (p < 0.05). FI was correlated with urinary incontinence. CONCLUSIONS: AI and FI occurred in 34.4% and 4.0% of Japanese medical personnel, respectively. Gas incontinence was common in every age group. AI was associated with female gender, higher age group, urinary incontinence, the style of urination and defecation in female, and previous colorectal disease and/or surgery in male. FI was associated with urinary incontinence.
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spelling pubmed-85533472021-11-05 Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel Maeda, Kotaro Koide, Yoshikazu Katsuno, Hidetoshi Hanai, Tsunekazu Masumori, Koji Matsuoka, Hiroshi Tajima, Yosuke Endo, Tomoyoshi Cheong, Yeong Cheol J Anus Rectum Colon Original Research Article OBJECTIVES: This study aimed to elucidate the actual state of anal incontinence (AI), fecal incontinence (FI), and the associated factors in Japanese medical personnel. METHODS: A questionnaire was completed by Japanese medical personnel after listening to lectures on AI. AI was defined as involuntary loss of feces or flatus. RESULTS: A total of 463 persons (mean age, 35.6 years; range, 20-91; male/female/no answer, 132/324/7) participated in the questionnaire. AI occurred in 34.4% of 450 participants (flatus/liquid stool/solid stool: 30.4%/3.6%/0.4%). AI was significantly more prevalent in females (male/female: 15.5%/42.7%, p < 0.001). AI and FI occurred significantly more prevalent in participants aged ≧40 years (p < 0.024). AI was significantly associated with childbirth, frequency of childbirth (more than three times), vaginal delivery, urinary incontinence, the style of urination/defecation, and a history of gynecologic surgery and systemic diseases (p < 0.05). Female gender and age as well as urinary incontinence and inability to defecate separately in female and previous colorectal disease and/or surgery in male were risk factors of AI by multivariate analysis (p < 0.05). FI was correlated with urinary incontinence. CONCLUSIONS: AI and FI occurred in 34.4% and 4.0% of Japanese medical personnel, respectively. Gas incontinence was common in every age group. AI was associated with female gender, higher age group, urinary incontinence, the style of urination and defecation in female, and previous colorectal disease and/or surgery in male. FI was associated with urinary incontinence. The Japan Society of Coloproctology 2021-10-28 /pmc/articles/PMC8553347/ /pubmed/34746503 http://dx.doi.org/10.23922/jarc.2021-025 Text en Copyright © 2021 by The Japan Society of Coloproctology https://creativecommons.org/licenses/by-nc-nd/4.0/Journal of the Anus, Rectum and Colon is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research Article
Maeda, Kotaro
Koide, Yoshikazu
Katsuno, Hidetoshi
Hanai, Tsunekazu
Masumori, Koji
Matsuoka, Hiroshi
Tajima, Yosuke
Endo, Tomoyoshi
Cheong, Yeong Cheol
Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel
title Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel
title_full Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel
title_fullStr Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel
title_full_unstemmed Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel
title_short Prevalence and Risk Factors of Anal and Fecal Incontinence in Japanese Medical Personnel
title_sort prevalence and risk factors of anal and fecal incontinence in japanese medical personnel
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553347/
https://www.ncbi.nlm.nih.gov/pubmed/34746503
http://dx.doi.org/10.23922/jarc.2021-025
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