AI Article Synopsis
- The study assessed the use of anal plugs and retrograde colonic irrigation (RCI) in treating fecal incontinence and constipation from 1980 to 2005.
- About 50% of the 201 patients responded; a majority found RCI more effective and were satisfied, with younger adults showing higher satisfaction rates.
- The results indicate that RCI is preferred over anal plugs, particularly among younger patients, while anal plugs can be used occasionally, especially for children.
Article Abstract
Aim: To evaluate the feasibility, clinical effect and predicting factors for favorable outcome of treatment with anal plugs in fecal incontinence and retrograde colonic irrigation (RCI) in patients with fecal incontinence or constipation.
Methods: Patients who received treatment with an anal plug or RCI between 1980 and 2005 were investigated with a questionnaire.
Results: Of the 201 patients (93 adults, 108 children), 101 (50%) responded. Adults: anal plugs (8), five stopped immediately, one stopped after 20 mo and two used it for 12-15 mo. RCI (40, 28 fecal incontinence, 12 constipation), 63% are still using it (mean 8.5 years), 88% was satisfied. Younger adults (< 40 years) were more satisfied with RCI (94% vs 65%, P = 0.05). Children: anal plugs (7), 5 used it on demand for an average of 2.5 years with satisfactory results, one stopped immediately and one after 5 years. RCI (26 fecal incontinence, 22 constipation), 90% are still using it (mean time 6.8 years) and felt satisfied. Children tend to be more satisfied (P = 0.001). Besides age, no predictive factors for success were found. There was no difference in the outcome between patients with fecal incontinence or constipation.
Conclusion: RCI is more often applied than anal plugs and is helpful in patients with fecal incontinence or constipation, especially for younger patients. Anal plugs can be used incidentally for fecal incontinence, especially in children.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4172618 | PMC |
| http://dx.doi.org/10.3748/wjg.v13.i22.3101 | DOI Listing |
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