Search Our Scientific Publications & Authors

Int J Colorectal Dis 2019 Apr 17. Epub 2019 Apr 17.

Department of Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea.

Purpose: Despite a high incidence of fecal incontinence following sphincter-preservation surgery (SPS), there are no definitive factors measured before ileostomy reversal that predict fecal incontinence. We investigated whether vector volume anorectal manometry before ileostomy reversal predicts major fecal incontinence following SPS in patients with mid or low rectal cancer.

Methods: This longitudinal prospective cohort study comprised 173 patients who underwent vector volume anorectal manometry before ileostomy reversal. Read More

Wound Manag Prev 2019 Apr;65(4):24-33

Tianjin Medical University Hospital Airport Hospital, Tianjin, China.

Critically ill patients with fecal incontinence are at high risk of developing incontinence-associated dermatitis (IAD). Scientific prediction and prevention of IAD are essential.

Purpose: The purpose of this study was to determine the risk factors for IAD among critically ill patients with fecal incontinence. Read More

Colorectal Dis 2019 Apr 15. Epub 2019 Apr 15.

Normandie Univ, UNIROUEN, Inserm U1073, Rouen University Hospital, Department of Digestive Physiology and CIC-CRB 1404, F-76000, Rouen, France.

Aim: Faecal incontinence is frequent in the elderly. Little is currently known about the efficacy of sacral nerve modulation in the elderly. The present study aimed to assess the impact of age on the outcome of sacral nerve modulation and on the surgical revision and explantation rates by comparing the results of a large dataset of patients. Read More

Acta Oncol 2019 Apr 11:1-8. Epub 2019 Apr 11.

a Department of Biomedical Data Sciences , Leiden University Medical Center , Leiden , The Netherlands.

Introduction: Patient preferences are often not discussed in treatment decisions in oncology. We introduced an online values clarification method (VCM) to help newly diagnosed rectal cancer patients participate in shared decision making about short-course preoperative radiotherapy.

Material And Methods: We offered a link to the VCM to a subset of consecutive patients before the pretreatment consultation with the radiation oncologist. Read More

Anaerobe 2019 Apr 5;57:93-98. Epub 2019 Apr 5.

Servicio de Enfermedades Infecciosas, Hospital Universitario Ramón y Cajal, IRYCIS, Spain. Electronic address:

Clostridium difficile infection (CDI) is characterized by a high delayed and unrelated mortality. Predicting delayed mortality in CDI patients could allow the implementation of interventions that could reduce these events. A prospective multicentric study was carried out to investigate prognostic factors associated with mortality. Read More

Neurogastroenterol Motil 2019 Apr 8:e13597. Epub 2019 Apr 8.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.

Background: High-resolution manometry (HRM) is used to measure rectoanal pressures in defecatory disorders and fecal incontinence. This study sought to define normal values for rectoanal HRM, ascertain the effects of age and BMI on rectoanal pressures, and compare pressures in asymptomatic women with normal and prolonged balloon expulsion time (BET).

Methods: High-resolution manometry pressures and BET were measured in 163 asymptomatic healthy participants. Read More

Female Pelvic Med Reconstr Surg 2019 Apr 3. Epub 2019 Apr 3.

Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda, Milano, Department of Pathophysiology and Transplantation, University of Milano, Milano, Italy.

Objective: The aim of this prospective study was to assess the safety and effectiveness of a new single laparoscopic operation devised to relieve obstructed defecation, gynecologic and urinary symptoms in a large series of female patients with multiorgan pelvic prolapse.

Methods: We submitted 384 female patients to laparoscopic pelvic organ prolapse suspension operation, a new technique based on suspension of the middle pelvic compartment, by using a polypropylene mesh and followed up 368 of them, with defecography performed 12 months after surgery and a standardized protocol.

Results: The 368 patients were followed-up for 36. Read More

Arch Gynecol Obstet 2019 May 2;299(5):1243-1252. Epub 2019 Apr 2.

Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany.

Purpose: To inform uro-gynecologists about the current standards and latest developments of sacral neuromodulation (SNM) in women with overactive bladder (OAB).

Methods: Literature search in the PubMed database for articles published between 1988 and 2019 on SNM for OAB in women.

Results: In total, 361 articles were identified and 51 articles retrieved for the review. Read More

Surg Today 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Ichihara City, Chiba, 299-0111, Japan.

Low anterior resection syndrome (LARS) commonly develops after an anal sphincter-preserving operation (SPO). The etiology of LARS is not well understood, as the anatomical components and physiological function of normal defecation, which may be damaged during the SPO, are not well established. SPOs may damage components of the anal canal (such as the internal anal sphincter, longitudinal conjoint muscle, or hiatal ligament), either mechanically or via injury to the nerves that supply these organs. Read More

J Multidiscip Healthc 2019 14;12:205-210. Epub 2019 Mar 14.

Department of Urology, Addenbrooke's Hospital, Cambridge, UK.

Purpose: Pelvic floor dysfunction is a common and heterogenous condition with numerous clinical manifestations, making the optimal management challenging. The traditional single-specialty approach may fail to address its complex nature. Currently, there are no published data on the impact of joint pelvic floor multidisciplinary team (MDT) meetings on patient management. Read More

Zentralbl Chir 2019 Apr 1;144(2):190-201. Epub 2019 Apr 1.

Chirurgische Klinik, Sektion Koloproktologie, Universitätsklinikum Erlangen, Deutschland.

Background: Fecal incontinence (FI) is often associated with significant suffering for affected patients and reduction of their quality of life. Fecal incontinence has an underestimated prevalence and will gain in importance in the future due to demographic change in Germany. During the last several years, new technologies have been developed and new evidence has been gathered for existing methods. Read More

J Pediatr Urol 2019 Feb 15. Epub 2019 Feb 15.

Center for Clinical Research, North Regional Hospital, Hjørring, Denmark; Department of Pediatrics, Aalborg University Hospital, Denmark. Electronic address:

Introduction: Fecal and urinary incontinence are common disorders in children. Obesity and its associated comorbidities have become increasingly common, and a relation between obesity, nocturia, incontinence, and nocturnal enuresis has been suggested.

Objective: This large scale population study aims to determine the prevalence of fecal incontinence (FI), daytime urinary incontinence (DUI), nocturnal enuresis (NE), and nocturia in children at school entry and in adolescence and to clarify whether obesity is associated to any of the aforementioned symptoms. Read More

Int J Colorectal Dis 2019 Mar 30. Epub 2019 Mar 30.

Department of Anorectal Surgery, The First Hospital of China Medical University, Shenyang, 110000, China.

Purpose: This study aimed to investigate the complications and recurrence rates of the different surgical procedures implemented in recent years for the treatment of grade III and IV hemorrhoids using a network meta-analysis approach.

Methods: A systematic literature search was conducted for randomized clinical trials (RCTs) published from January 2013 to August 2018, via PubMed, Embase, the Cochrane Library, and Web of Science. Data related to anal stenosis, fecal incontinence, hemorrhoids thrombosis, and recurrence rates were extracted from the included studies, which were selected based on associations with surgical procedures for grade III and IV hemorrhoids. Read More

Neurourol Urodyn 2019 Mar 23. Epub 2019 Mar 23.

Department of Obstetrics & Gynecology, INOVA Women's Hospital, Falls Church, Virginia.

Objective: To assess age-related changes in the pelvic floor muscular hiatus and their association with symptoms of pelvic organ prolapse, urinary and fecal incontinence, and sexual function.

Methods: In this pilot study we performed 3D endovaginal ultrasonography in two age groups of nulliparous women: 18 to 40 years and 52 to 85 years. Anterior-posterior (AP) diameter, left-right (LR) diameter, and the Minimal Levator Hiatus area were measured. Read More

J Pediatr Gastroenterol Nutr 2019 Mar 26. Epub 2019 Mar 26.

Center for Surgical Outcomes Research, Center for Innovation in Pediatric Practice, The Research Institute and Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio.

Aims And Objectives: To develop a reliable and valid questionnaire that assesses patient reported experience (PREMs) and patient reported outcome measures (PROMs) of caregivers, families, and patients with severe constipation and fecal incontinence who failed conservative treatments and require a formal bowel management program (BMP).

Methods: A five step iterative process was utilized to ensure the reliability and validity of the final instrument. Parents or guardians of patients undergoing our week-long BMP were first asked 20 open-ended questions aimed at understanding the challenges in managing their child's condition. Read More

J Pediatr Gastroenterol Nutr 2019 Mar 26. Epub 2019 Mar 26.

Laboratory of Immunoregulation, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD, 20892, USA.

Objective: To evaluate gastrointestinal symptoms and continence in the context of Phelan-McDermid Syndrome (PMS).

Study Design: A prospective evaluation of children with PMS (n = 17) at the National Institutes of Health.

Results: Parent-reported history of symptoms were common: constipation (65%), reflux (59%), choking/gagging (41%), and more than half received gastrointestinal specialty care. Read More

Ann Surg 2019 05;269(5):815-826

Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH.

Background Information: We aimed to compare prospectively the complications and functional outcome of patients undergoing a J-Pouch (JP) or a side-to-end anastomosis (SE) for treatment of low rectal cancer at a 2-year time point after resection for rectal cancer.

Methods: A multicenter study was conducted on patients with low rectal cancer who were randomized to receive either a JP or SE and were followed for 24 months utilizing SF-12 and FACT-C surveys to evaluate the quality of life (QOL). Fecal incontinence was evaluated using the Fecal Incontinence Severity Index (FISI). Read More

Asian J Endosc Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa, Japan.

Introduction: Although long-term crude outcomes of laparoscopic ventral rectopexy for external rectal prolapse (ERP) have been documented, repetitive functional and quality of life (QOL) assessments are scarce. This study assessed midterm annual functional results and QOL after laparoscopic ventral rectopexy for ERP.

Methods: This study consisted of 58 patients and was a retrospective analysis of prospectively collected data. Read More

Curr Urol Rep 2019 Mar 27;20(5):22. Epub 2019 Mar 27.

Department of Surgery, Division of Urology, University of Cincinnati, 231 Albert Sabin Way, ML 0589, Room#2511, Cincinnati, OH, 45267, USA.

Purpose Of Review: Patient-reported outcome measures (PROMs) are tools that are widely used by clinicians and researchers across different medical specialties. In this review, we examine the use of PROMs in the evaluation of female pelvic floor disorders (PFD).

Recent Findings: PROM development in the assessment of urinary incontinence is more advanced than other pelvic disorders. Read More

Therap Adv Gastroenterol 2019 19;12:1756284819836072. Epub 2019 Mar 19.

Gastroenterology Department, Royal North Shore Hospital, St. Leonards, NSW, Australia University of Sydney, Sydney, NSW, Australia.

Background: Instrumented anorectal biofeedback (BF) improves symptoms and quality of life in patients with faecal incontinence and defecation disorder-associated chronic constipation. However, demand for BF greatly outweighs availability, so refinement of the BF protocol, in terms of the time and resources required, is of importance. Our aim was to evaluate the outcomes of an abbreviated BF protocol in patients with defecation disorder-associated chronic constipation and/or faecal incontinence compared to standard BF. Read More

Obstet Gynecol 2019 Apr;133(4):e260-e273

Fecal incontinence, or the involuntary leakage of solid or loose stool, is estimated to affect 7-15% of community-dwelling women (1). It is associated with reduced quality of life, negative psychologic effects, and social stigma (2), yet many women do not report their symptoms or seek treatment. Less than 3% of women who do self-report fecal incontinence will have this diagnosis recorded in their medical record (3). Read More

Obstet Gynecol 2019 Apr;133(4):837-839

Fecal incontinence, or the involuntary leakage of solid or loose stool, is estimated to affect 7-15% of community-dwelling women (). It is associated with reduced quality of life, negative psychologic effects, and social stigma (), yet many women do not report their symptoms or seek treatment. Less than 3% of women who do self-report fecal incontinence will have this diagnosis recorded in their medical record (). Read More

World Neurosurg 2019 Mar 19. Epub 2019 Mar 19.

Memorial Hospital, Neurosurgery Clinic, Ankara, Turkey.

Background: Intramedullary glial neoplasms affecting the entire spinal cord from the cervicomedullary junction to conus medullaris are termed 'holocord tumors'. Pilocytic astrocytomas are relatively uncommon tumors forming holocord involvement. Hitherto 24 holocord astrocytoma cases were reported in the literature. Read More

J Neurol Sci 2019 May 12;400:39-41. Epub 2019 Mar 12.

Centre de recherche Charles-Le-Moyne-Saguenay-Lac-Saint-Jean sur les innovations en santé, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec, Canada; Groupe de recherche interdisciplinaire sur les maladies neuromusculaires, Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-St-Jean, Jonquière, Québec, Canada. Electronic address:

Background And Purpose: Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) diagnosis is based on the presence of three main clinical features: 1) ataxia, 2) pyramidal involvement, and 3) axonal neuropathy. This study aimed to explore, among a cohort of adults with ARSACS, the prevalence of other signs and symptoms than those commonly describe in this disease and compare their prevalence between younger (<40 years) and older (≥40 years) participants.

Methods: A clinical interview based on a standardized questionnaire was conducted. Read More

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Pediatric Surgery and the Research Institute, Nationwide Children's Hospital, Columbus, OH.

Purpose: The purpose of this study was to identify factors associated with attaining fecal continence in children with anorectal malformations (ARM).

Methods: We performed a multi-institutional cohort study of children born with ARM in 2007-2011 who had spinal and sacral imaging. Questions from the Baylor Social Continence Scale were used to assess fecal continence at the age of ≥4 years. Read More

Arq Gastroenterol 2019 Mar 18. Epub 2019 Mar 18.

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, São Paulo, SP, Brasil.

Background: Digital rectal examination (DRE) is part of the physical examination, is also essential for the colorectal surgeon evaluation. A good DRE offers precious information related to the patient's complaints, which will help in decision making. It is simple, quick and minimally invasive. Read More

Minim Invasive Ther Allied Technol 2019 Mar 19:1-6. Epub 2019 Mar 19.

e Colorectal Surgery , Champalimaud Foundation , Lisboa , Portugal.

Introduction: Some patients undergoing transanal total mesorectal excision (TaTME) may experience post-surgical complications, such as impaired bowel function and urogenital and sexual dysfunction. The present work aims to evaluate the one-year impact of TaTME surgery on bowel function, quality of life, and outcomes.

Material And Methods: Twenty patients undergoing TaTME with cancer in the mid and lower rectum were assessed prospectively by endoscopic transanal ultrasound (EUS) and three physiological function degrees, along with different clinical outcome questionnaires. Read More

Healthc Technol Lett 2019 Feb 7;6(1):8-12. Epub 2019 Jan 7.

Sir Alan Parks Physiology Unit, St Mark's Hospital, London, HA1 3UJ, UK.

Sacral nerve stimulation (SNS) is an established treatment for faecal incontinence involving the implantation of a quadripolar electrode into a sacral foramen, through which an electrical stimulus is applied. Little is known about the induced spread of electric current around the SNS electrode and its effect on adjacent tissues, which limits optimisation of this treatment. The authors constructed a 3-dimensional imaging based finite element model in order to calculate and visualise the stimulation induced current and coupled this to biophysical models of nerve fibres. Read More

Clin Res Hepatol Gastroenterol 2019 Mar 14. Epub 2019 Mar 14.

Service des maladies de l'appareil digestif, CHU de Pontchaillou, Université de Rennes 1, Rennes, France; Inserm U1241, Université de Rennes 1, Rennes, France; CIC 1414, INPHY, Université de Rennes 1, Rennes, France.

Background: Quality of life is increasingly seen as important, but remains difficult to assess in patients with functional anorectal complaints.

Objective: We aimed to quantify quality of life and to analyse the symptomatic descriptors associated with a poor outcome in patients with faecal incontinence (FI) and/or constipation.

Methods: The characteristics of the patients, data from self-administered questionnaires and from physical examinations were evaluated prospectively for all cases of functional anorectal disease over a period of thirteen years. Read More

Arch Gerontol Geriatr 2019 May - Jun;82:226-231. Epub 2019 Mar 2.

Hospital District of Southwest Finland Turku, 20520, Turku, Finland; University of Turku, Faculty of Medicine, Department of Obstetrics and Gynaecology, FI-20014, Finland.

Objective: The aim of this study was to analyse the prevalence of pelvic floor disorders and to describe health-related quality of life (HRQoL) among older women. We also compared participants' HRQoL with the age-matched general female population and analysed factors associated with HRQoL.

Study Design: This is a population-based study of a cohort of women born in 1948 and in 1950 (n = 143) which is also part of the Women's Gynaecological Health study in Lieto, Finland. Read More

Int J Womens Health 2019 22;11:143-148. Epub 2019 Feb 22.

Research Center, King Fahad Medical City, Riyadh, Saudi Arabia,

Purpose: In this study, we aimed to estimate the prevalence of depression symptoms in women with pelvic floor dysfunction (PFD) and to assess their quality of life (QOL).

Patients And Methods: A case-control study assessing depression and its severity in women with PFD (urinary incontinence, pelvic organ prolapse, and fecal incontinence) was conducted. Patients attending the Urogynecology Department of the Women's Specialized Hospital, King Fahad Medical City, were requested to complete the self-reported Pelvic Floor Distress Inventory, Pelvic Floor Impact Questionnaire, and Beck Inventory Scale for Depression. Read More

Ginekol Pol 2019 ;90(2):82-85

II Chair and Department of Gynaecology, Medical University of Lublin, Poland.

Objectives: The paper is a ten case series study presenting women with complex pelvic floor disorders involving fecal incontinence (FI) with stress urinary incontinence or pelvic organ prolapse. Our study aimed at ascertaining whether FI-induced sphincteroplasty with an additional secure circular suture around the external anal sphincter muscle (EAS) may improve long term success rates.

Materials And Methods: Twelve patients had scheduled urogynecological surgery and overlapping sphincteroplasty with the placement of an additional circular suture around the EAS. Read More

Lancet Gastroenterol Hepatol 2019 Apr;4(4):305-314

Department of Gastroenterology, Linköping University, Linköping, Sweden.

Microscopic colitis is a chronic inflammatory disease of the colon that frequently causes chronic watery diarrhoea that might be accompanied by abdominal pain, nocturnal diarrhoea, urgency, and faecal incontinence. These symptoms lead to poor quality of life and increased health-care costs. Diagnosis relies on histological examination of multiple biopsy samples from the colonic mucosa, which often show no or only few abnormalities on endoscopy. Read More

CNS Spectr 2019 Feb;24(1):222-223

3Smell and Taste Treatment and Research Foundation,Chicago,IL.

Study ObjectiveCats may respond to seizures with a threat response (Strong, 1999). Detailed description of this for seizures or pseudoseizures has not heretofore been described.

Method: Case study: A 29-year-old right handed female, two years prior to presentation, developed onset of seizures which last approximately one minute, almost on a daily basis. Read More

Dis Colon Rectum 2019 Mar 5. Epub 2019 Mar 5.

Background: With increasing rates of sphincter preservation because of advances in preoperative chemoradiation, restoration of bowel continuity has become a main goal of rectal cancer treatment. However, in many patients, postoperative bowel dysfunction negatively affects the quality of life.

Objective: This study aimed to analyze predictors of bowel dysfunction after sphincter-preserving surgery in patients with rectal cancer. Read More

J Neurogastroenterol Motil 2019 04;25(2):189-204

Department of Physiology and Cell Biology, University of Nevada, Reno School of Medicine, Reno, NV, USA.

The internal anal sphincter (IAS) plays an important role in the maintenance of fecal continence since it generates tone and is responsible for > 70% of resting anal pressure. During normal defecation the IAS relaxes. Historically, tone generation in gastrointestinal muscles was attributed to mechanisms arising directly from smooth muscle cells, ie, myogenic activity. Read More

Dig Liver Dis 2019 Feb 11. Epub 2019 Feb 11.

Department of Gastroenterology, Grand-Sud Polyclinic, Nîmes, France.

Background: Inflammatory bowel diseases (IBD) affect working-age patients. Data was lacking concerning the impact on working life.

Aims: The French IBD patient association conducted a nationwide survey to assess the burden of IBD at work. Read More

J Pain Symptom Manage 2019 Feb 28. Epub 2019 Feb 28.

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Context: Functional dependence at end of life often leaves individuals requiring help for personal care, including maintaining continence. Current continence guidelines offer little direction for end of life continence care, and little is known of the perspectives of people receiving palliative care.

Objectives: The aim of the study was to examine the continence care preferences of people receiving palliative care to understand what approaches to care and what goals of care are important to them. Read More

J Gastrointest Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of General, Visceral and Transplant Surgery, Ludwig-Maximilians-University Munich, Marchioninistrasse 15, 81377, Munich, Germany.

Background: A defunctioning stoma can become necessary in a relevant number of patients undergoing gastrointestinal surgery. As a matter of course, patients seek an early closure of the stoma. However, preoperative management of these patients varies and the prediction of continence after stoma removal can become challenging. Read More

Rev Bras Ginecol Obstet 2019 Mar 1;41(3):191-198. Epub 2019 Mar 1.

Department of Nursing, Universidade Federal do Ceará, Fortaleza, CE, Brazil.

Objective:  To identify the quality of life (QoL) assessment instruments related to the health of women with fecal incontinence (FI) or anal incontinence (AI).

Data Sources:  Systematic review conducted in the Virtual Health Library (VHL), PubMed and Cochrane Library databases. The descriptors used were: , , , , , , and . Read More

Br J Community Nurs 2019 Mar;24(3):134-138

Lecturer in Adult Nursing, School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University.

Geriatr Gerontol Int 2019 Feb 27. Epub 2019 Feb 27.

Division of Health Sciences, Osaka University Graduate School of Medicine, Suita, Japan.

Aim: The current study was an international cross-sectional study comparing the prevalence of incontinence among cognitively impaired older residents in long-term care facilities in East Asia, including Japan, Korea, China, Taiwan and Thailand between 2015 and 2016.

Methods: Participants were cognitively impaired older residents in long-term care facilities. Demographic data were collected. Read More

J Matern Fetal Neonatal Med 2019 Mar 8:1-6. Epub 2019 Mar 8.

e Nursing Department , Islamic Azad University , Hamadan , Iran.

Background: Given the increasing rate of cesarean delivery and request without maternal or fetal indication among pregnant women, this systematic review was conducted to obtain the reasons for maternal request for elective cesarean section.

Methods: We searched published studies from the first year of records through August 2018 in PubMed, Scopus, and Web of Science. The quality assessment of the studies was performed by the improved Newcastle-Ottawa Scale. Read More

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):161-166

Department of Obstetrics and Gynecology, University of Arizona, Tucson, AZ.

Objectives: The aim of this study was to investigate the association between urinary phytoestrogen levels with symptoms of pelvic organ prolapse (POP) and fecal incontinence (FI) in postmenopausal women.

Methods: This is a cross-sectional study using the National Health and Nutrition Examination Survey database from 2005 to 2010 including postmenopausal women 40 years or older who either had both ovaries removed and/or had no period in the past year due to hysterectomy and/or menopause. Urinary concentrations of 6 phytoestrogens were measured. Read More

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):120-124

From the Division of Urogynecology, Department of Obstetrics and Gynecology, and.

Objective: The aim of this study was to assess the quality of information available through the Internet for a variety of search terms for fecal incontinence (FI).

Methods: Using the Google search engine, searches were performed for 4 terms: "bowel control problem," "accidental bowel leakage," "fecal incontinence," and "leaking stool." The DISCERN quality analysis tool and JAMA benchmark criteria were implemented by 2 independent reviewers to evaluate the first 20 search results for each term. Read More

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):113-119

University of North Carolina, Chapel Hill, NC.

Objective: The aim of this study was to characterize clinical success, impact on quality of life, and durability up to 1 year in women with fecal incontinence (FI) responsive to an initial test period with a trial vaginal bowel control system.

Methods: This was a prospective open-label study in subjects with FI and successfully fit who underwent an initial 2-week trial period. Those achieving 50% or greater reduction in FI episodes were provided the long-term system. Read More

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):88-92

From the Center for Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, Cleveland, OH.

Objective: The aim of this study was to describe the incidence and trends of outcomes after concurrent surgeries for symptomatic hemorrhoids and pelvic floor disorders.

Methods: This was a retrospective matched cohort study. Women who underwent concurrent vaginal urogynecologic and hemorrhoid surgery between 2007 and 2017 were identified by their surgical codes and matched to a cohort of women who underwent vaginal urogynecologic surgery only. Read More

Zhonghua Fu Chan Ke Za Zhi 2019 Feb;54(2):97-102

Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.

To investigate the influence of conventional preoperative intestinal preparation and unplanned preparation on the visual field of pelvic organ prolapse repair surgery. The patients who underwent transvaginal pelvic organ prolapse repair surgery in Peking University Peoples Hospital from September 2017 to July 2018 were selected as the research objects except those who had undergone colorectal surgery and chronic constipation. The surgery doctor was blinded by intestinal preparation. Read More

Neurourol Urodyn 2019 Apr 25;38(4):1053-1066. Epub 2019 Feb 25.

Department of Health, Institute of Physiotherapy, Zurich University of Applied Sciences, Winterthur, Switzerland.

Aims: Current level-A recommended questionnaires that provide a valid assessment of urinary incontinence (UI) and/or faecal incontinence (FI), but do not cover all aspects of the burden of the disease in the sense of the bio-psycho-social model of the World Health Organization's International Classification of Functioning, Disability and Health (ICF). Therefore, an ICF oriented questionnaire for patients with UI and/or FI to assess treatment barriers (problems) as well as positive influencing factors (resources), the "ICF-Incontinence Assessment Form" will be developed. The aim of this preliminary study was (a) to identify problems and resources of UI and/or FI in current level-A recommended questionnaires and (b) to evaluate problems and resources of patients with UI and/or FI from the perspective of experienced physiotherapists. Read More

Int Urogynecol J 2019 Feb 22. Epub 2019 Feb 22.

Service de Gastroentérologie, CHU Nord, Aix-Marseille Université, Marseille, France.

Introduction And Hypothesis: Wearing high heels may not only produce deleterious effects on the musculoskeletal system and on the general posture, but also on the activity of pelvic floor muscles. However, no data are currently available concerning the link between fecal incontinence and wearing high heels. Our aim was to determine whether wearing high-heeled shoes could influence anal canal pressure values in patients suffering from fecal incontinence. Read More