questionsmedicales.fr
Maladies de l'appareil digestif
Maladies gastro-intestinales
Maladies intestinales
Maladies du rectum
Incontinence anale
Incontinence anale : Questions médicales fréquentes
Diagnostic
5
Incontinence fécale
Examen clinique
Électromyographie
Fonction anorectale
Incontinence fécale
Causes
Anamnèse
Antécédents médicaux
Symptômes
5
Symptômes
Douleur abdominale
Qualité de vie
Hygiène personnelle
Diabète
Troubles neurologiques
Prévention
5
Exercice physique
Muscles pelviens
Tabagisme
Aliments irritants
Poids santé
Plancher pelvien
Consultations médicales
Détection précoce
Traitements
5
Traitement
Intervention chirurgicale
Médicaments
Contrôle des selles
Sphinctérotomie
Dispositifs médicaux
Thérapie comportementale
Gestion des symptômes
Exercices de Kegel
Plancher pelvien
Complications
5
Infections
Irritations cutanées
Isolement social
Difficultés relationnelles
Hygiène
Douleurs chroniques
Facteurs de risque
5
Maladies chroniques
Diabète
Antécédents familiaux
Incontinence fécale
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"name": "Comment diagnostique-t-on l'incontinence anale ?",
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"text": "Le diagnostic repose sur l'examen clinique, l'historique médical et des tests spécifiques."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer l'incontinence ?",
"position": 2,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "Quels symptômes indiquent une incontinence anale ?",
"position": 3,
"acceptedAnswer": {
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{
"@type": "Question",
"name": "L'incontinence anale est-elle toujours permanente ?",
"position": 4,
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{
"@type": "Question",
"name": "Quels sont les principaux symptômes de l'incontinence anale ?",
"position": 6,
"acceptedAnswer": {
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"text": "Les principaux symptômes incluent des fuites de selles, des douleurs abdominales et des urgences."
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{
"@type": "Question",
"name": "L'incontinence anale peut-elle causer des problèmes psychologiques ?",
"position": 7,
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"@type": "Question",
"name": "Comment l'incontinence anale affecte-t-elle la vie quotidienne ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut limiter les activités sociales, provoquer de l'embarras et affecter l'hygiène personnelle."
}
},
{
"@type": "Question",
"name": "Y a-t-il des signes d'alerte associés à l'incontinence ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme des saignements ou des douleurs sévères nécessitent une consultation rapide."
}
},
{
"@type": "Question",
"name": "L'incontinence anale est-elle liée à d'autres maladies ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut être associée à des maladies comme le diabète ou des troubles neurologiques."
}
},
{
"@type": "Question",
"name": "Comment prévenir l'incontinence anale ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une alimentation riche en fibres et une bonne hydratation aide à prévenir l'incontinence."
}
},
{
"@type": "Question",
"name": "L'exercice physique peut-il prévenir l'incontinence ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exercice régulier renforce les muscles pelviens et améliore le contrôle des selles."
}
},
{
"@type": "Question",
"name": "Y a-t-il des habitudes à éviter pour prévenir l'incontinence ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les aliments irritants et le tabagisme peut réduire le risque d'incontinence."
}
},
{
"@type": "Question",
"name": "Le contrôle du poids aide-t-il à prévenir l'incontinence ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, maintenir un poids santé réduit la pression sur le plancher pelvien et le risque d'incontinence."
}
},
{
"@type": "Question",
"name": "Les consultations médicales régulières sont-elles importantes ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles permettent de détecter précocement des problèmes et d'adapter les traitements."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour l'incontinence anale ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des modifications alimentaires, des médicaments et des interventions chirurgicales."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils aider l'incontinence anale ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains médicaments peuvent améliorer le contrôle des selles et réduire les symptômes."
}
},
{
"@type": "Question",
"name": "Quelles interventions chirurgicales sont possibles ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des procédures comme la sphinctérotomie ou l'implantation de dispositifs peuvent être envisagées."
}
},
{
"@type": "Question",
"name": "La thérapie comportementale est-elle efficace ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut aider à gérer les symptômes et à améliorer le contrôle des selles."
}
},
{
"@type": "Question",
"name": "Les exercices de Kegel sont-ils utiles ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils renforcent les muscles du plancher pelvien et peuvent améliorer le contrôle anal."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec l'incontinence anale ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des infections, des irritations cutanées et des problèmes psychologiques."
}
},
{
"@type": "Question",
"name": "L'incontinence anale peut-elle entraîner des problèmes sociaux ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut provoquer l'isolement social et des difficultés relationnelles."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque accru de dépression ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'incontinence anale peut augmenter le risque de dépression et d'anxiété."
}
},
{
"@type": "Question",
"name": "Comment l'incontinence anale affecte-t-elle la santé physique ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut entraîner des problèmes d'hygiène, des infections et des douleurs chroniques."
}
},
{
"@type": "Question",
"name": "L'incontinence anale peut-elle affecter la sexualité ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner des problèmes d'intimité et de confiance dans les relations sexuelles."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de l'incontinence anale ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge, les antécédents de chirurgie pelvienne et les troubles neurologiques."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'incontinence ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes sont plus susceptibles de souffrir d'incontinence anale, surtout après l'accouchement."
}
},
{
"@type": "Question",
"name": "Les maladies chroniques augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le diabète et la sclérose en plaques peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "Le mode de vie joue-t-il un rôle dans l'incontinence ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sédentaire et une mauvaise alimentation peuvent contribuer au risque."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux d'incontinence peuvent augmenter la probabilité de développer la condition."
}
}
]
}
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}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 05/03/2025
Contenu vérifié selon les dernières recommandations médicales
5 publications dans cette catégorie
Affiliations :
Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA. Electronic address: uduakumoh.andy@uphs.upenn.edu.
Publications dans "Incontinence anale" :
4 publications dans cette catégorie
Publications dans "Incontinence anale" :
4 publications dans cette catégorie
Affiliations :
GIOME, Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Department of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Division of Urogynecology and Pelvic Reconstructive Surgery, University of Alabama at Birmingham, 1700 6th Ave S.WIC Rm 10382, Birmingham, AL, 35233, USA.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Division of Urogynecology and Pelvic Reconstructive Surgery, University of Alabama at Birmingham, 1700 6th Ave S.WIC Rm 10382, Birmingham, AL, 35233, USA.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Pelvic Floor Unit, I° Department of Surgery, Regional Hospital, Treviso, Italy.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Division of Gastroenterology and Hepatology, Augusta University Medical Center, 1120 15th Street, AD 2226, Augusta, GA 30912, USA. Electronic address: srao@augusta.edu.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Division of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA.
Publications dans "Incontinence anale" :
3 publications dans cette catégorie
Affiliations :
Unidad Cirugía Colorrectal, Complejo Hospitalario Navarra, Pamplona, Navarra, Spain.
Publications dans "Incontinence anale" :
2 publications dans cette catégorie
Publications dans "Incontinence anale" :
2 publications dans cette catégorie
Affiliations :
International Medical Center Fujita Health University Hospital, Toyoake, Japan.
Publications dans "Incontinence anale" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Japan.
Publications dans "Incontinence anale" :
Fecal incontinence (FI) is an escalating medical problem. Due to increasing life expectancy FI becomes more evident, especially in the geriatric population. The prevalence varies from 4 % in the adult...
Fecal incontinence (FI) is common, but its etiology is complex with large knowledge gaps. Several phenotypes of FI are known, but the phenotype is often not decisive in the chosen therapy. In this stu...
We retrospectively studied the charts of patients with FI, who visited our institute from January 2018 until December 2020. Patients were divided into the following groups: passive fecal loss, urge in...
Patients with passive incintinence were older, more often had a flaccid anus with presence of a mucosal prolapse, and had a lower resting pressure on anorectal manometry. Patients with urge incontinen...
Differentiating into phenotypes of FI can be clinically meaningful. The patient history and clinical judgement of the consulting specialist, rather than the physical characteristics, seem to be decisi...
Defecatory disorders including fecal incontinence (FI) are diagnosed on the symptom pattern supplemented by anorectal manometry (ARM), the balloon expulsion test (BET), and endo-anal ultrasonography. ...
Biofeedback therapy (BFT) is a well-known treatment for functional anorectal disorders. The effect of BFT was monitored in fecal incontinence (FI) patients with the Fecobionics test and with the conve...
Studies were performed in 12 patients before and after 8 weeks of biofeedback training. The Fecal Incontinence Severity Index (FISI) score was obtained. Anal resting and squeeze pressures were measure...
BFT resulted in 24% reduction in FISI scores (P < 0.01). Seven patients were characterized as responders. Anal pressures, the urge-to-defecate volume, and defecatory parameters did not change signific...
Fecobionics was used as a tool to monitor the effect of BFT and proved better than conventional technologies for monitoring and predicting the outcome in the FISI score....
Fecal incontinence (FI) is often underreported and underestimated in men. Our aims were to clarify the causes and the physiological characteristics of FI in men and to underline the differences betwee...
Find out the long-term economic cost associated with the treatment of severe fecal incontinence by SNS versus symptomatic conservative treatment and definitive colostomy....
Detailed descriptive study of the costs of the healthcare process (interventions, consultations, devices, complementary tests, hospitalization, etc.) of 3 treatment alternatives for fecal incontinence...
The mean cumulative cost in 10 years per patient in each alternative was: € 10,972.9 symptomatic treatment (62% diapers); € 17,351.57 SNS (95.83% interventions; 81.6% devices); € 25,858.54 definitive ...
Management of severe fecal incontinence implies a great burden in economic terms. The colostomy is the alternative that generates the most direct cost, followed by SNS and symptomatic treatment....
Despite effective treatments for fecal incontinence (FI), FI remains underdiagnosed and undertreated. This study sought to characterize and compare rates of, delays in, experiences with, and barriers ...
This study was a secondary analysis of electronic survey data collected from adults with FI. The survey included the use of a validated instrument to assess FI severity and questions that now comprise...
The sample (N = 548) was predominately female (84%), non-Hispanic White (90%), and insured (96%), with a mean Vaizey score (13.4 ± 5.3) consistent with moderate or severe FI. Care seeking rates (p = 0...
Men and women with FI seek care at similar rates and after experiencing symptoms for a similar duration of time. Very few patients with FI have been screened for it by a healthcare provider. Barriers ...
Stress urinary incontinence, fecal incontinence, and pelvic organ prolapse are common forms of pelvic floor dysfunction. Pelvic floor muscle training is used to improve pelvic floor function, through ...
We performed a systematic literature search of the clinical evidence. We assessed the risk of bias of included studies using the ROBIS tool, for systematic reviews, and the Cochrane Risk of Bias tool,...
We included 6 studies (4 systematic reviews and 2 randomized controlled trials) in the clinical evidence review. In comparison with no treatment, pelvic floor muscle training significantly improved sy...
Pelvic floor muscle training is likely more effective (with respect to symptom improvement and patient satisfaction) than no treatment for women with stress urinary incontinence or pelvic organ prolap...
Urinary tract infection (UTI) is common in urogynecology patients. Patients with fecal incontinence (FI) often attribute their UTIs to FI, but this association has not been evaluated....
The objectives of this study were to compare the prevalence of UTI in urogynecology patients with and without FI and to characterize factors associated with UTI and recurrent UTI....
This retrospective cohort study included all new adult patients who presented to an academic female pelvic medicine and reconstructive surgery practice with FI from January 2014 through December 2017....
Among 399 patients, 106 (27%) had a culture-confirmed UTI in the year before or after their first urogynecology visit; the prevalence of UTI was 23% (45/198) in patients with FI and 30% (61/201) in th...
The prevalence of UTI and recurrent UTI was similar in urogynecology patients with and without FI. Variables that were associated with UTI risk included older age, sexual activity, diabetes mellitus, ...
Tibial nerve stimulation (TNS) therapy is widely used to treat fecal incontinence (FI), but still, some controversy exists. This study aimed to determine whether TNS could improve FI from different ev...