Fecal urgency (also termed bowel urgency, rectal urgency or defecation urgency) is a medical symptom where there is a sudden, strong need to defecate that is difficult to defer.[1] The difference between fecal urgency and urge fecal incontinence is that in fecal urgency the person usually has enough time to reach a toilet and there is no involuntary leakage of stool. In urge fecal incontinence, there is a sudden, strong urge to defecate (fecal urgency), and the person has little or no ability to prevent defecation.[2] Fecal urgency warning time is the length of time from the first sensation of need to defecate until voluntary defecation or incontinence.[1]
| Fecal urgency | |
|---|---|
| Specialty | Gastroenterology, colorectal surgery |
Fecal urgency is associated with conditions such as irritable bowel syndrome, inflammatory bowel disease, diabetes, pelvic floor dysfunction, and previous radiotherapy directed at the pelvis or rectum.[3] It may also occur after certain surgical procedures such as stapled trans-anal rectal resection.[4]
References
edit- ^ a b Sultan, Abdul H.; Monga, Ash; Lee, Joseph; Emmanuel, Anton; Norton, Christine; Santoro, Giulio; Hull, Tracy; Berghmans, Bary; Brody, Stuart; Haylen, Bernard T. (2017). "An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction". International Urogynecology Journal. 28 (1): 5–31. doi:10.1007/s00192-016-3140-3. PMID 27774569.
- ^ Doughty, DB (15 December 2005). Urinary & Fecal Incontinence: Current Management Concepts. Elsevier Health Sciences. p. 457. ISBN 978-0-323-03135-6.
- ^ Rangan, V; Mitsuhashi, S; Singh, P; Ballou, S; Hirsch, W; Sommers, T; Nee, J; Iturrino, J; Lembo, A (September 2018). "Risk Factors for Fecal Urgency Among Individuals With and Without Diarrhea, Based on Data From the National Health and Nutrition Examination Survey". Clinical Gastroenterology and Hepatology. 16 (9): 1450–1458.e2. doi:10.1016/j.cgh.2018.02.020. PMC 6098738. PMID 29474972.
- ^ Ripamonti, L; Guttadauro, A; Lo Bianco, G; Rennis, M; Maternini, M; Cioffi, G; Chiarelli, M; De Simone, M; Cioffi, U; Gabrielli, F (2022). "Stapled Transanal Rectal Resection (Starr) in the Treatment of Obstructed Defecation: A Systematic Review". Frontiers in Surgery. 9: 790287. doi:10.3389/fsurg.2022.790287. PMC 8882820. PMID 35237648.