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Review
. 2006 May 28;12(20):3168-73.
doi: 10.3748/wjg.v12.i20.3168.

Treatment strategies in obstructed defecation and fecal incontinence

Marat Khaikin  1 , Steven-D Wexner
Affiliations
Review

Treatment strategies in obstructed defecation and fecal incontinence

Marat Khaikin et al. World J Gastroenterol. .

Abstract

Obstructed defecation (OD) and fecal incontinence (FI) are challenging clinical problems, which are commonly encountered in the practice of colorectal surgeons and gastroenterologists. These disorders socially and psychologically distress patients and greatly impair their quality of life. The underlying anatomical and pathophysiological changes are complex, often incompletely understood and cannot always be determined. As a consequence, many medical, surgical, and behavioral approaches have been described, with no panacea. Over the past decade, advances in an understanding of these disorders together with rational and similar methods of evaluation in anorectal physiology laboratories (ARP), radiology studies, and new surgical techniques have led to promising results. In this brief review, we discuss treatment strategies and recent updates on clinical and therapeutic aspects of obstructed defecation and fecal incontinence.

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Figures

Figure 1
Figure 1
Treatment algorithm for obstructed defecation.
Figure 2
Figure 2
Treatment algorithm for fecal incontinence.
See this image and copyright information in PMC

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