Irritable bowel syndrome worsens faecal incontinence after primary repair of major obstetric anal sphincter injuries.

Mina SarofimAnnelie SlaarSylvia DermoutFrank den BoerAlexander Engel

Published in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2024)

OASIS has a limited negative effect on faecal incontinence, independent of whether residual ultrasonographic sphincter defects are present. However, the presence of IBS has a significant compounding effect on faecal incontinence in OASIS patients. The effect of IBS on faecal incontinence is also notable in caesarean section patients and primigravids, suggesting that IBS is an independent risk-factor that should have its place in predelivery assessment and counselling.

Keyphrases

irritable bowel syndrome
end stage renal disease
ejection fraction
newly diagnosed
urinary incontinence
chronic kidney disease
peritoneal dialysis
prognostic factors
risk factors
pregnant women
patient reported outcomes
high grade