Epidemiology of Faecal Incontinence

  • Alexandra K. Macmillan
  • Arend E. H. Merrie


This chapter focuses on the prevalence and incidence rate of faecal incontinence in the general population and specific subgroups, including the elderly and children. Epidemiological definitions are described, and problems with measuring faecal incontinence are discussed. Descriptive studies of prevalence and incidence rates are reviewed, including demographic determinants and the reliability of the prevalence estimates. A thorough discussion of risk factors for the development of faecal incontinence is covered elsewhere in this volume. Having highlighted the need for valid, reliable measurement tools, an example of such a tool is given for use in epidemiologic studies.


Irritable Bowel Syndrome Faecal Incontinence Rectal Prolapse Bowel Motion Functional Gastrointestinal Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Macmillan AK, Merrie AEH, Marshall RJ, Parry BR (2004) The prevalence of fecal incontinence in community-dwelling adults: a systematic review of the literature. Dis Colon Rectum 47:1341–1349PubMedCrossRefGoogle Scholar
  2. 2.
    Drossman DA (1999) The functional gastrointestinal disorders and the Rome II process. Gut 45:1–5CrossRefGoogle Scholar
  3. 3.
    Drossman DA, Corazziare E, Talley NJ et al (eds) Rome II. The functional gastrointestinal disorders. Allen, LawrenceGoogle Scholar
  4. 4.
    Whitehead WE, Wald A, Diamant NE et al (1999) Functional disorders of the anus and rectum. Gut 45:55–59Google Scholar
  5. 5.
    Loening-Baucke V (1997) Fecal incontinence in children. Am Fam Physician 55:2229–2235PubMedGoogle Scholar
  6. 6.
    Voskuijl WP, Heijmans J, Heijmans HSA et al (2004) Use of Rome II criteria in childhood defecation disorders: Applicability in clinical and research practice. J Pediatr 145:213–217PubMedCrossRefGoogle Scholar
  7. 7.
    Benninga MA, Buller HA, Heymans HSA et al (1994) Is encopresis always the result of constipation? Arch Dis Child 71:186–193PubMedCrossRefGoogle Scholar
  8. 8.
    Rasquin-Weber A, Hyman PE, Cucchiara S et al (1999) Childhood functional gastrointestinal disorders. Gut 45(Suppl 2):II60–II68PubMedCrossRefGoogle Scholar
  9. 9.
    Di Lorenzo C, Benninga MA (2004) Pathophysiology of pediatric fecal incontinence. Gastroenterology 126:S33–S40PubMedCrossRefGoogle Scholar
  10. 10.
    Dare OO, Cleland JG (1994) Reliability and validity of survey data on sexual behaviour. Health Transit Rev 4:93–110PubMedGoogle Scholar
  11. 11.
    Rossi PH, Wright JD, Anderson AB (eds) (1983) Handbook of survey research. Academic Press, OrlandoGoogle Scholar
  12. 12.
    Thomas TM, Egan M, Walgrove A, Meade TW (1984) The prevalence of faecal and double incontinence. Community Med 6:216–220PubMedGoogle Scholar
  13. 13.
    Giebel GD, Lefering R, Troidl H, Blochl H (1998) Prevalence of fecal incontinence: what can be expected? Int J Colorectal Dis 13:73–77CrossRefGoogle Scholar
  14. 14.
    Johanson JF, Lafferty J (1996) Epidemiology of fecal incontinence: the silent affliction. Am J Gastroenterol 91:33–36PubMedGoogle Scholar
  15. 15.
    Kalantar JS, Howell S, Talley NJ (2002) Prevalence of faecal incontinence and associated risk factors; an underdiagnosed problem in the Australian community? Med J Aust 176:54–57PubMedGoogle Scholar
  16. 16.
    Lam TCF, Kennedy ML, Chen FC et al (1999) Prevalence of faecal incontinence: obstetric and constipation-related risk factors; a population-based study. Colorectal Disease 1:197–203CrossRefGoogle Scholar
  17. 17.
    Siproudhis L, Pigot F, Godeberge P et al (2006) Defecation disorders: A French population survey. Dis Colon and Rectum 49:219–227CrossRefGoogle Scholar
  18. 18.
    Talley NJ, O’Keefe EA, Zinsmeister AR, Melton LJ 3rd (1992) Prevalence of gastrointestinal symptoms in the elderly: A population-based study. Gastroenterology 102:895–901PubMedGoogle Scholar
  19. 19.
    Bellman M (1966) Studies on encopresis. Acta Paediatr Scand 170(Suppl):3–151Google Scholar
  20. 20.
    van der Plas RN, Benninga MA, Redekop WK et al (1997) How accurate is the recall of bowel habits in children with defaecation disorders? Eur J Pediatr 156:178–181PubMedCrossRefGoogle Scholar
  21. 21.
    Hansen A, Hansen B, Dahm T (1997) Urinary tract infection, day wetting and other voiding symptoms in sevento eight-year-old Danish children. Acta Paediatr 86:1345–1349PubMedGoogle Scholar
  22. 22.
    van der Wal MF, Benninga MA, Hirasing RA (2005) The prevalence of encopresis in a multicultural population. J Paediatr Gastroenter Nutr 40:345–348CrossRefGoogle Scholar
  23. 23.
    Macmillan AK (2004) Design and validation of the New Zealand Faecal Incontinence Questionnaire. Masters thesis, University of AucklandGoogle Scholar
  24. 24.
    O’Donnell LJD, Virjee J, Heaton KW (1990) Detection of pseudodiarrhoea by simple clinical assessment of intestinal transit rate. BMJ 300:439:440Google Scholar
  25. 25.
    Heaton KW, Ghosh S, Braddon FEM (1991) How bad are the symptoms and bowel dysfunction of patients with the irritable bowel syndrome? A prospective, controlled study with emphasis on stool form. Gut 32:73–79PubMedCrossRefGoogle Scholar
  26. 26.
    Heaton KW, Radvan J, Cripps H et al (1992) Defecation frequency and timing, and stool form in the general population: a prospective study. Gut 33:818–824PubMedCrossRefGoogle Scholar
  27. 27.
    Rockwood TH, Church JM, Fleshman JW et al (1999) Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severitry index. Dis Colon Rectum 42(12):1525–1531PubMedCrossRefGoogle Scholar
  28. 28.
    Rockwood TH, Church JM, Fleshman JW et al (2000) Fecal incontinence quality of life scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum 43:9–17PubMedCrossRefGoogle Scholar

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© Springer-Verlag Italia 2007

Authors and Affiliations

  • Alexandra K. Macmillan
  • Arend E. H. Merrie

There are no affiliations available

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