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Measuring fecal incontinence.

Nancy N Baxter1, David A Rothenberger, Ann C Lowry

  • 1Division of Colorectal Surgery, University of Minnesota, Minneapolis, MN, USA.

Diseases of the Colon and Rectum
|December 12, 2003
PubMed
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Measuring fecal incontinence relies on patient perception due to its subjective nature. This review examines available descriptive, severity, and impact measures, highlighting their strengths and weaknesses for clinical use.

Area of Science:

  • Gastroenterology
  • Urology
  • Pelvic Floor Disorders

Background:

  • Fecal incontinence measurement is complex, relying heavily on subjective patient reporting.
  • The absence of a gold standard complicates the validation of measurement tools.
  • Existing measures fall into descriptive, severity, and quality of life impact categories.

Purpose of the Study:

  • To review and categorize available measurement tools for fecal incontinence.
  • To analyze the strengths and limitations of current fecal incontinence assessment methods.
  • To provide a comprehensive overview for clinicians and researchers.

Main Methods:

  • Literature review of fecal incontinence measurement instruments.
  • Categorization of measures into descriptive, severity, and impact types.

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  • Analysis of reliability and validity considerations for each category.

    • Main Results:

    • Descriptive measures offer detailed patient experiences without summary scores.
    • Severity measures quantify incontinence frequency and type.
    • Impact measures assess the effect on patient quality of life.

    Conclusions:

    • A variety of fecal incontinence measurement tools exist, each with specific applications.
    • Understanding the strengths and weaknesses of each measure is crucial for accurate assessment.
    • Further research may be needed to develop more robust and validated instruments.