Nassim Mirbagheri
speaker
43 appearances
1 recordings
1 series
first heard Jul 2019
last heard Jul 2019
Nassim Mirbagheri’s voice in public audio — every appearance, attributed to the second.
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Health Report · Faecal incontinence and the world's first non-identical organ swap · 1 Jul 2019
podcast
The definition of fecal incontinence in simple terms is bowel accidents or bowel leakage.
Someone cannot control the passage of stool.
And the definition is loosely used because it could refer to inability to control gas, which we call flatulence incontinence.
It refers to inability to control feces, which we refer to as fecal incontinence.
Our typical person who presents with this problem tends to be a woman in middle age, menopause, maybe overweight, who's had multiple kids.
To my knowledge, there's at least six Australian studies that have attempted to estimate the prevalence of faecal incontinence in an adult Australian population.
And in those studies, it has ranged from 10 to 20%.
So in average, about one in eight Australian people suffer from faecal incontinence.
In fact, that figure can be as high as 50% in nursing home populations, so one in two.
The problem is this is probably an underestimation of this disorder because most people suffer in silence and don't seek help.
A typical example is, for example, a woman who presents after birth, after a vaginal delivery whereby she sustained a third degree tear, for example.
In that particular person, the underlying cause would likely to be a sphincter injury sustained during the birthing process.
Either the injury has been missed or it has been repaired and has broken down.
Patients with spinal bifida is a typical example, or spinal cord injury, or diabetic neuropathy.
So we classify it as neurogenic if there is a clear underlying neurological cause to it.
50% of patients with fecal incontinence also have urinary incontinence and you can go the other way around because the pelvic floor and the pelvis itself contains three different organs, the rectum, the vagina and the bladder.
When one dysfunctions, the other one also dysfunctions.
So you can understand the ligaments supporting these structures support the other organs as well.
So if you have a vaginal prolapse, for example, where prolapse by definition means something protruding out of its normal place, then you are also likely to have a rectal prolapse.
So they go together, and that's why multidisciplinary management of this condition is absolutely crucial.
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