Incontinence fécale: aspects psychologiques et qualité de vie

CHUS - Hôtel-Dieu - Directeur Unité Périnéologie 580, rue Bowen Sud JIG 2E8 Sherbrooke Québec Canada
Acta Endoscopica (Impact Factor: 0.16). 07/2004; 34(4):555-560. DOI: 10.1007/BF03006349


L’incontinence fécale est une condition qui amène souvent chez le patient une détresse psychologique. Les aspects psychologiques
de l’incontinence urinaire et ses impacts sur la qualité de vie sont bien connus contrairement aux connaissances que nous
avons sur le sujet en incontinence fécale. L’incidence de troubles psychologiques chez les patients qui consultent pour incontinence
fécale est mal connue. Le biofeedback fait habituellement partie d’un « tout thérapeutique ». Il devrait être considéré comme
un mode de communication plutôt qu’un test d’exploration fonctionnelle.
Fecal incontinence is a very distressing condition. Contrary to urinary incontinence, psychological aspects and effects on
quality of life of fecal incontinence are not well covered in medical literature. The incidence of psychological symptoms
in incontinent patients who seek treatment must be evaluated. Biofeedback is usually part of a « package care ». It must be
considered as a mean of communication rather than just a functional exploration test.

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    ABSTRACT: Although fecal incontinence is one of the more frequent clinical symptoms of the gastrointestinal tract, its assessment is often neglected in clinical practice. The psychosocial aspects of the symptoms are also often overlooked: The number of undetected cases in comparison to those registered illustrates that not only patients but also physicians avoid this topic during clinical routine. Consequences of fecal incontinence for the quality of life of patients have rarely been investigated, but we could show that there are specific impacts of incontinence on family life, specifically with respect to sexuality, and on the job situation of those affected. Finally, it has been shown that in most cases continence can be achieved by management strategies deriving from psychological learning theory such as biofeedback training.
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