Skip to main content

Table 4 Bowel function score (≥ 4 years old)

From: Surgical outcomes for patients with rectosigmoid hirschsprung disease who underwent transanal endorectal pull-through after 1 year of age

Evaluation of bowel control

Score

Group A

(N = 210)

Group B

(N = 117)

p-Value

Patient answering the Rintala questionnaire

 

N = 150 (71.4%)

N = 78 (66.7%)

 

Median follow-up interval, years

 

6.8 [4.7, 9.4]

7.5 [5.6, 9.8]

0.238

Median follow-up age, years

 

10.0 [8.1, 12.4]

7.9 [6.0, 9.9]

< 0.001

Ability to hold back defecation, n (%)

    

 Always

3

112 (74.7)

50 (64.1)

0.337

 Problems less than 1/week

2

17 (11.3)

10 (12.8)

 

 Weekly problems

1

12 (8.0)

11 (14.1)

 

 No voluntary control

0

9 (5.9)

7 (9.0)

 

Feels/reports the urge to defecate, n (%)

    

 Always

3

108 (72.0)

47 (60.3)

0.338

 Most of the time

2

26 (17.3)

20 (25.6)

 

 Uncertain

1

11 (7.3)

7 (9.0)

 

 Absent

0

5 (3.3)

4 (5.1)

 

Frequency of defecation, n (%)

    

 Every other day to twice a day

2

114 (76.0)

55 (71.4)

0.526

 More than

1

17 (11.3)

13 (16.9)

 

 Less than

1

19 (12.7)

9 (11.7)

 

Soiling, n (%)

    

 Never

3

67 (44.7)

31 (39.7)

0.886

 Staining<1/week, no change of underwear required

2

32 (21.3)

17 (21.8)

 

 Frequent staining, change of underwear often required

1

36 (24.0)

22 (28.2)

 

 Daily soiling, requires protective aids

0

15 (10.0)

8 (10.3)

 

Fecal accidents, n (%)

    

 Never

3

116 (77.3)

59 (75.6)

0.754

 Fewer 1/week

2

13 (8.7)

10 (12.8)

 

 Weekly, requires protective aids

1

15 (10.0)

7 (9.0)

 

 Daily, requires protective aid day and night

0

6 (4.0)

2 (2.6)

 

Constipation, n (%)

    

 No constipation

3

133 (88.7)

64 (82.1)

0.422

 Manageable with diet

2

11 (7.3)

9 (11.5)

 

 Manageable with laxatives

1

6 (4.0)

5 (6.4)

 

 Manageable with enemas

0

0 (0.0)

0 (0.0)

 

Social problems, n (%)

    

 No social problems

3

125 (83.3)

67 (85.9)

0.409

 Sometimes

2

17 (11.3)

7 (9.0)

 

 Problems restricting social life

1

6 (4.0)

1 (1.3)

 

 Severe social/psychosocial problems

0

2 (1.3)

3 (3.8)

 

Total BFS, n (%)

    

 Good bowel function

≥ 17

105 (70.0)

47 (60.3)

0.311

 Moderate bowel function

12–16

29 (19.3)

21 (26.9)

 

 Poor bowel function

<12

16 (10.7)

10 (12.8)

 
  1. Data are presented as median [IQR, interquartile range] and frequency (%)0.12 HD patients were excluded due to the follow-up age of less than 4 years old, and 99 HD patients dropped out