{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:58:06Z","timestamp":1774522686435,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":35,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"DOI":"10.1186\/s12876-026-04684-x","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T23:46:43Z","timestamp":1771458403000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fecal incontinence as a hidden disorder among adults aged over 50 years"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9470-4249","authenticated-orcid":false,"given":"Ahmet","family":"Akmercan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Omak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tayfun","family":"Akmercan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O\u011fuzhan","family":"\u015eim\u015fek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer Faruk","family":"Acar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wafi","family":"Attaallah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"4684_CR1","unstructured":"Rome IVD. Criteria https:\/\/theromefoundation.org\/rome-iv\/rome-iv-criteria\/ (2025). Accessed 28.10.2025."},{"issue":"11","key":"4684_CR2","doi-asserted-by":"publisher","first-page":"3121","DOI":"10.1007\/s11136-024-03756-3","volume":"33","author":"SL Assmann","year":"2024","unstructured":"Assmann SL, Keszthelyi D, Breukink SO, Kimman ML. Living with faecal incontinence: a qualitative investigation of patient experiences and preferred outcomes through semi-structured interviews. Qual Life Res. 2024;33(11):3121\u20139. https:\/\/doi.org\/10.1007\/s11136-024-03756-3.","journal-title":"Qual Life Res"},{"issue":"12","key":"4684_CR3","doi-asserted-by":"publisher","first-page":"1194","DOI":"10.1097\/DCR.0000000000000514","volume":"58","author":"KS Ng","year":"2015","unstructured":"Ng KS, Sivakumaran Y, Nassar N, Gladman MA. Fecal incontinence: community prevalence and associated Factors\u2013A systematic review. Dis Colon Rectum. 2015;58(12):1194\u2013209. https:\/\/doi.org\/10.1097\/DCR.0000000000000514.","journal-title":"Dis Colon Rectum"},{"issue":"4","key":"4684_CR4","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1016\/j.cgh.2023.09.004","volume":"22","author":"I Mack","year":"2024","unstructured":"Mack I, Hahn H, Godel C, Enck P, Bharucha AE. Global prevalence of fecal incontinence in Community-Dwelling adults: A systematic review and Meta-analysis. Clin Gastroenterol Hepatol. 2024;22(4):712\u201331. https:\/\/doi.org\/10.1016\/j.cgh.2023.09.004. e8.","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"2","key":"4684_CR5","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/j.cgh.2019.05.040","volume":"18","author":"WE Whitehead","year":"2020","unstructured":"Whitehead WE, Simren M, Busby-Whitehead J, Heymen S, van Tilburg MAL, Sperber AD, et al. Fecal incontinence diagnosed by the Rome IV criteria in the united States, Canada, and the united Kingdom. Clin Gastroenterol Hepatol. 2020;18(2):385\u201391. https:\/\/doi.org\/10.1016\/j.cgh.2019.05.040.","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"5","key":"4684_CR6","doi-asserted-by":"publisher","first-page":"e4931","DOI":"10.1016\/j.ajog.2010.01.018","volume":"202","author":"GC Dunivan","year":"2010","unstructured":"Dunivan GC, Heymen S, Palsson OS, von Korff M, Turner MJ, Melville JL, et al. Fecal incontinence in primary care: prevalence, diagnosis, and health care utilization. Am J Obstet Gynecol. 2010;202(5):e4931\u20136. https:\/\/doi.org\/10.1016\/j.ajog.2010.01.018.","journal-title":"Am J Obstet Gynecol"},{"key":"4684_CR7","doi-asserted-by":"publisher","unstructured":"Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512-7, 7 e1-2. https:\/\/doi.org\/10.1053\/j.gastro.2009.04.054.","DOI":"10.1053\/j.gastro.2009.04.054"},{"key":"4684_CR8","doi-asserted-by":"publisher","unstructured":"Menees SB, Almario CV, Spiegel BMR, Chey WD. Prevalence of and Factors Associated With Fecal Incontinence: Results From a Population-Based Survey. Gastroenterology. 2018;154(6):1672-81 e3. https:\/\/doi.org\/10.1053\/j.gastro.2018.01.062.","DOI":"10.1053\/j.gastro.2018.01.062"},{"issue":"6","key":"4684_CR9","doi-asserted-by":"publisher","first-page":"3151","DOI":"10.1097\/JS9.0000000000001268","volume":"110","author":"R Rashid","year":"2024","unstructured":"Rashid R, Sohrabi C, Kerwan A, Franchi T, Mathew G, Nicola M, et al. The STROCSS 2024 guideline: strengthening the reporting of cohort, cross-sectional, and case-control studies in surgery. Int J Surg. 2024;110(6):3151\u201365. https:\/\/doi.org\/10.1097\/JS9.0000000000001268.","journal-title":"Int J Surg"},{"issue":"1","key":"4684_CR10","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1055\/s-2005-864076","volume":"18","author":"HT Papaconstantinou","year":"2005","unstructured":"Papaconstantinou HT. Evaluation of anal incontinence: minimal approach, maximal effectiveness. Clin Colon Rectal Surg. 2005;18(1):9\u201316. https:\/\/doi.org\/10.1055\/s-2005-864076.","journal-title":"Clin Colon Rectal Surg"},{"issue":"4","key":"4684_CR11","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1097\/SPV.0000000000000263","volume":"22","author":"M Kucukbas","year":"2016","unstructured":"Kucukbas M, Selcuk S, Asoglu MR, Akdemir Y, Karateke A, Cam C. Validation of the fecal incontinence severity index in a Turkish population. Female Pelvic Med Reconstr Surg. 2016;22(4):283\u20136. https:\/\/doi.org\/10.1097\/SPV.0000000000000263.","journal-title":"Female Pelvic Med Reconstr Surg"},{"issue":"12","key":"4684_CR12","doi-asserted-by":"publisher","first-page":"1589","DOI":"10.1002\/bjs.10298","volume":"103","author":"A Sharma","year":"2016","unstructured":"Sharma A, Yuan L, Marshall RJ, Merrie AE, Bissett IP. Systematic review of the prevalence of faecal incontinence. Br J Surg. 2016;103(12):1589\u201397. https:\/\/doi.org\/10.1002\/bjs.10298.","journal-title":"Br J Surg"},{"key":"4684_CR13","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/1471-230X-8-8","volume":"8","author":"BA Adelstein","year":"2008","unstructured":"Adelstein BA, Irwig L, Macaskill P, Katelaris PH, Jones DB, Bokey L. A self administered reliable questionnaire to assess lower bowel symptoms. BMC Gastroenterol. 2008;8:8. https:\/\/doi.org\/10.1186\/1471-230X-8-8.","journal-title":"BMC Gastroenterol"},{"issue":"6","key":"4684_CR14","doi-asserted-by":"publisher","first-page":"2024","DOI":"10.1007\/s10620-020-06418-9","volume":"66","author":"L Dibley","year":"2021","unstructured":"Dibley L, Hart A, Duncan J, Knowles CH, Kerry S, Lanz D, et al. Clinician administered and Self-Report survey both effective for identifying fecal incontinence in patients with inflammatory bowel disease. Dig Dis Sci. 2021;66(6):2024\u201331. https:\/\/doi.org\/10.1007\/s10620-020-06418-9.","journal-title":"Dig Dis Sci"},{"issue":"8285","key":"4684_CR15","doi-asserted-by":"publisher","first-page":"1349","DOI":"10.1016\/s0140-6736(82)92413-8","volume":"1","author":"RJ Leigh","year":"1982","unstructured":"Leigh RJ, Turnberg LA. Faecal incontinence: the unvoiced symptom. Lancet. 1982;1(8285):1349\u201351. https:\/\/doi.org\/10.1016\/s0140-6736(82)92413-8.","journal-title":"Lancet"},{"key":"4684_CR16","doi-asserted-by":"publisher","unstructured":"Ditah I, Devaki P, Luma HN, Ditah C, Njei B, Jaiyeoba C et al. Prevalence, trends, and risk factors for fecal incontinence in United States adults, 2005\u20132010. Clin Gastroenterol Hepatol. 2014;12(4):636\u2009\u2013\u200943 e1-2. https:\/\/doi.org\/10.1016\/j.cgh.2013.07.020.","DOI":"10.1016\/j.cgh.2013.07.020"},{"issue":"7","key":"4684_CR17","doi-asserted-by":"publisher","first-page":"e13597","DOI":"10.1111\/nmo.13597","volume":"31","author":"NR Oblizajek","year":"2019","unstructured":"Oblizajek NR, Gandhi S, Sharma M, Chakraborty S, Muthyala A, Prichard D, et al. Anorectal pressures measured with high-resolution manometry in healthy people-Normal values and asymptomatic pelvic floor dysfunction. Neurogastroenterol Motil. 2019;31(7):e13597. https:\/\/doi.org\/10.1111\/nmo.13597.","journal-title":"Neurogastroenterol Motil"},{"issue":"1","key":"4684_CR18","doi-asserted-by":"publisher","first-page":"G46","DOI":"10.1152\/ajpgi.00362.2016","volume":"312","author":"Y Mazor","year":"2017","unstructured":"Mazor Y, Jones M, Andrews A, Kellow JE, Malcolm A. Novel insights into fecal incontinence in men. Am J Physiol Gastrointest Liver Physiol. 2017;312(1):G46\u201351. https:\/\/doi.org\/10.1152\/ajpgi.00362.2016.","journal-title":"Am J Physiol Gastrointest Liver Physiol"},{"issue":"3","key":"4684_CR19","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1016\/j.cgh.2020.03.050","volume":"19","author":"Y Mazor","year":"2021","unstructured":"Mazor Y, Prott G, Jones M, Ejova A, Kellow J, Malcom A. Factors associated with response to anorectal biofeedback therapy in patients with fecal incontinence. Clin Gastroenterol Hepatol. 2021;19(3):492\u2013e5025. https:\/\/doi.org\/10.1016\/j.cgh.2020.03.050.","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"11","key":"4684_CR20","doi-asserted-by":"publisher","first-page":"1726","DOI":"10.1007\/s10350-006-0657-4","volume":"49","author":"JC Fox","year":"2006","unstructured":"Fox JC, Fletcher JG, Zinsmeister AR, Seide B, Riederer SJ, Bharucha AE. Effect of aging on anorectal and pelvic floor functions in females. Dis Colon Rectum. 2006;49(11):1726\u201335. https:\/\/doi.org\/10.1007\/s10350-006-0657-4.","journal-title":"Dis Colon Rectum"},{"issue":"11","key":"4684_CR21","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1007\/s00384-008-0524-y","volume":"23","author":"A Ommer","year":"2008","unstructured":"Ommer A, Wenger FA, Rolfs T, Walz MK. Continence disorders after anal surgery\u2013a relevant problem? Int J Colorectal Dis. 2008;23(11):1023\u201331. https:\/\/doi.org\/10.1007\/s00384-008-0524-y.","journal-title":"Int J Colorectal Dis"},{"issue":"2","key":"4684_CR22","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s10151-011-0682-8","volume":"15","author":"A Bondurri","year":"2011","unstructured":"Bondurri A, Zbar AP, Tapia H, Boffi F, Pescatori M. The relationship between etiology, symptom severity and indications of surgery in cases of anal incontinence: a 25-year analysis of 1,046 patients at a tertiary coloproctology practice. Tech Coloproctol. 2011;15(2):159\u201364. https:\/\/doi.org\/10.1007\/s10151-011-0682-8.","journal-title":"Tech Coloproctol"},{"issue":"11","key":"4684_CR23","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1007\/s11894-020-00793-z","volume":"22","author":"SM Scott","year":"2020","unstructured":"Scott SM, Carrington EV. The London classification: improving characterization and classification of anorectal function with anorectal manometry. Curr Gastroenterol Rep. 2020;22(11):55. https:\/\/doi.org\/10.1007\/s11894-020-00793-z.","journal-title":"Curr Gastroenterol Rep"},{"issue":"10","key":"4684_CR24","doi-asserted-by":"publisher","first-page":"1987","DOI":"10.14309\/ajg.0000000000001507","volume":"116","author":"A Wald","year":"2021","unstructured":"Wald A, Bharucha AE, Limketkai B, Malcolm A, Remes-Troche JM, Whitehead WE, et al. ACG clinical guidelines: management of benign anorectal disorders. Am J Gastroenterol. 2021;116(10):1987\u20132008. https:\/\/doi.org\/10.14309\/ajg.0000000000001507.","journal-title":"Am J Gastroenterol"},{"issue":"3","key":"4684_CR25","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1016\/j.cgh.2018.06.037","volume":"17","author":"EV Carrington","year":"2019","unstructured":"Carrington EV, Knowles CH, Grossi U, Scott SM. High-resolution anorectal manometry measures are more accurate than conventional measures in detecting anal hypocontractility in women with fecal incontinence. Clin Gastroenterol Hepatol. 2019;17(3):477\u201385. https:\/\/doi.org\/10.1016\/j.cgh.2018.06.037. e9.","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"2","key":"4684_CR26","doi-asserted-by":"publisher","first-page":"100562","DOI":"10.1016\/j.gastha.2024.10.002","volume":"4","author":"EA Belilos","year":"2025","unstructured":"Belilos EA, Post Z, Anderson S, DeMeo M. The clinical utility of anorectal manometry: A review of current practices. Gastro Hep Adv. 2025;4(2):100562. https:\/\/doi.org\/10.1016\/j.gastha.2024.10.002.","journal-title":"Gastro Hep Adv"},{"issue":"6","key":"4684_CR27","doi-asserted-by":"publisher","first-page":"1556","DOI":"10.1111\/j.1572-0241.1999.01144.x","volume":"94","author":"L Siproudhis","year":"1999","unstructured":"Siproudhis L, Bellissant E, Pagenault M, Mendler MH, Allain H, Bretagne JF, et al. Fecal incontinence with normal anal Canal pressures: where is the pitfall? Am J Gastroenterol. 1999;94(6):1556\u201363. https:\/\/doi.org\/10.1111\/j.1572-0241.1999.01144.x.","journal-title":"Am J Gastroenterol"},{"issue":"6","key":"4684_CR28","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1080\/00015458.2017.1394674","volume":"117","author":"ZH Yeap","year":"2017","unstructured":"Yeap ZH, Simillis C, Qiu S, Ramage L, Kontovounisios C, Tekkis P. Diagnostic accuracy of anorectal manometry for fecal incontinence: a meta-analysis. Acta Chir Belg. 2017;117(6):347\u201355. https:\/\/doi.org\/10.1080\/00015458.2017.1394674.","journal-title":"Acta Chir Belg"},{"issue":"2","key":"4684_CR29","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1159\/000338954","volume":"86","author":"C Pehl","year":"2012","unstructured":"Pehl C, Seidl H, Scalercio N, Gundling F, Schmidt T, Schepp W, et al. Accuracy of anorectal manometry in patients with fecal incontinence. Digestion. 2012;86(2):78\u201385. https:\/\/doi.org\/10.1159\/000338954.","journal-title":"Digestion"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-026-04684-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-026-04684-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-026-04684-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T09:57:22Z","timestamp":1774519042000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12876-026-04684-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,19]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4684"],"URL":"https:\/\/doi.org\/10.1186\/s12876-026-04684-x","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,19]]},"assertion":[{"value":"8 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. This study was approved by the Marmara University School of Medicine Clinical Research Ethics Committee (Registration number: 09.2025.25\u20130410). Written informed consent was obtained from all participants. The Ethics Committee granted a full waiver of informed consent for reviewing the patient\u2019s chart and data analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"189"}}