Table 4.
Response to treatment n (%)
| No follow-up | Follow-up |
Response to treatment |
|||||
|
Wexner score after treatment |
|||||||
| 0-1 WS | 2- 5 WS | 6-9 WS | ≥ 10 WS | ||||
| Total (n = 764) | 145 (19.0) | 619 (81.0) | 257 (41.5) | 241 (38.9) | 92 (14.8) | 29 (4.7) | |
| Men (n = 119) | 36 (30.3) | 83 (69.7) | Treatments: | 28 (33.7) | 39 (46.9) | 10 (12.8) | 6 (7.2) |
| n = 50 | 21 (42.0) | 29 (58.0) | Chronic diarrhea1 | 4 (13.8) | 22 (75.9) | 2 (6.9) | 1 (3.4) |
| n = 20 | 8 (40.0) | 12 (60.0) | Constipation2 | 4 (33.3) | 6 (50.0) | 2 (16.6) | 0 (0.0) |
| n = 12 | 5 (41.7) | 7 (58.3) | Incomplete evacuation3 | 2 (28.6) | 4 (57.1) | 1 (14.3) | 0 (0.0) |
| n = 25 | 0 (0.0) | 25 (100.0) | Soiling4 | 18 (72.0) | 6 (24.0) | 1 (4.0) | 0 (0.0) |
| n = 12 | 2 (16.7) | 10 (83.3) | Others5 | 0 (00.0) | 1 (10.0) | 4 (40.0) | 5 (50.0) |
| Women (n = 645) | 109 (16.9) | 536 (83.1) | Treatments: | 229 (42.7) | 202 (37.7) | 82 (15.3) | 23 (4.3) |
| n = 289 | 51 (17.6) | 238 (82.3) | Chronic diarrhea1 | 129 (54.2) | 88 (37.0) | 21 (8.8) | 0 (0.0) |
| n = 118 | 28 (23.7) | 90 (76.3) | Constipation2 | 48 (53.3) | 35 (38.9) | 7 (7.8) | 0 (0.0) |
| n = 74 | 18 (24.3) | 56 (75.7) | Incomplete evacuation3 | 18 (32.1) | 34 (60.7) | 4 (7.1) | 0 (0.0) |
| n = 32 | 2 (6.3) | 30 (93.7) | Soiling4 | 22 (73.3) | 6 (23.3) | 2 (3.3) | 0 (0.0) |
| n = 132 | 10 (7.6) | 122 (92.4) | Others5 | 12 (9.8) | 39 (31.9) | 48 (39.3) | 23 (18.8) |
| χ2 (P) (men vs women) | 4.98 (< 0.05) | 4.98 (< 0.05) | 1.72 (NS) | 1.73 (NS) | 0.26 (NS) | 0.78 (NS) | |
Patients with chronic diarrhea were treated in a stepwise approach according to the response: (1) dietary modification and loperamide; (2) resin-cholysteramine or codeine phosphate; (3) otilonium bromide; and (4) amitriptyline;
Patients with constipation were treated with: (1) a fiber-rich diet and a bulking agent; (2) osmotic laxative; and (3) glycerol suppositories or enemas;
Patients with incomplete evacuation were treated with bulking agents with or without glycerol suppositories or enema;
Patients with soiling started with fiber-rich diet and bulking agents; glycerol suppositories or enema;
Patients with inflammatory bowel disease, prolapses, neurological diseases required special treatment including specific therapy, surgery, anal plugs, sacral nerve electrostimulation, or a combination of several measures. NS: Not significant; WS: Wexner score.