Causas más frecuentes de incontinencia fecal en nuestro medio / Most frequent causes of fecal incontinence in our environment

RESUMO

The objective of this piece of work was to assess the most frequent causes of fecal incontinence in our environment. 204 patients undergoing fecal incontinence of various types of severity were evaluated and later referred to "motilidad digestiva" department of Gastroenterology floor of Hospital de Clinicas Jose de San Martin, in an eight year span of time, 58 male (28.43 per cent) and 146 female (71.56 per cent) of an average age of 56 years. Every patient underwent a serious anamnesis, a proctologic examination, anoscopy, a rectosigmoid study, an anorectal manometry, and, a preventive electromyography was performed to those patients with a possible neurologic damage. The most frequent cause of incontinence was idiopathic 37.7 per cent, followed by post surgery (19.6 per cent) and rectal prolapse (13.7 per cent), post menopause (11.2 per cent), post delivery (9.8 per cent), Neurogenic Incontinence (4.9 per cent) and Traumatic Incontinence (2.9 per cent). Doctor's performance may prevent some of the causes of incontinence.