Can the outcome of pelvic-floor rehabilitation in patients with fecal incontinence be predicted?

Purpose Pelvic-floor rehabilitation does not provide the same degree of relief in all fecal incontinent patients. We aimed at studying prospectively the ability of tests to predict the outcome of pelvic-floor rehabilitation in patients with fecal incontinence. Materials and methods Two hundred fifty...

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Bibliographic Details
Published in:International journal of colorectal disease 2008-05, Vol.23 (5), p.503-511
Main Authors: Terra, M. P., Deutekom, M., Dobben, A. C., Baeten, C. G. M. I., Janssen, L. W. M., Boeckxstaens, G. E. E., Engel, A. F., Felt-Bersma, R. J. F., Slors, J. F. W., Gerhards, M. F., Bijnen, A. B., Everhardt, E., Schouten, W. R., Berghmans, B., Bossuyt, P. M. M., Stoker, J.
Format: Article
Language:English
Subjects:
Aged
Biofeedback, Psychology
Biological and medical sciences
Electric Stimulation Therapy
Fecal Incontinence - physiopathology
Fecal Incontinence - rehabilitation
Female
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Humans
Internal Medicine
Linear Models
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Multivariate Analysis
Netherlands
Original
Original Article
Other diseases. Semiology
Pelvic Floor - physiopathology
Predictive Value of Tests
Proctology
Prospective Studies
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery
Treatment Outcome
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Summary:Purpose Pelvic-floor rehabilitation does not provide the same degree of relief in all fecal incontinent patients. We aimed at studying prospectively the ability of tests to predict the outcome of pelvic-floor rehabilitation in patients with fecal incontinence. Materials and methods Two hundred fifty consecutive patients (228 women) underwent medical history and a standardized series of tests, including physical examination, anal manometry, pudendal nerve latency testing, anal sensitivity testing, rectal capacity measurement, defecography, endoanal sonography, and endoanal magnetic resonance imaging. Subsequently, patients were referred for pelvic-floor rehabilitation. Outcome of pelvic-floor rehabilitation was quantified by the Vaizey incontinence score. Linear regression analyses were used to identify candidate predictors and to construct a multivariable prediction model for the posttreatment Vaizey score. Results After pelvic-floor rehabilitation, the mean baseline Vaizey score (18, SD ± 3) was reduced with 3.2 points ( p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-008-0438-8