Fecal incontinence
- PMID: 20011386
- PMCID: PMC2780180
- DOI: 10.1055/s-2007-977490
Fecal incontinence
Abstract
Fecal incontinence is a devastating problem for those afflicted. It can lead to embarrassment and social isolation. Treating the problem begins with a thorough history and physical examination. Further testing (such as anal physiology testing or anal endosonography) depends on the examination and treatment plan. Conservative medical therapies (such as dietary manipulation, medication to slow the stool, and biofeedback) are usually tried first. Surgery includes sphincter repair, SECCA, artificial bowel sphincter, and stoma. New therapies continue to evolve with the intention of further improving quality of life for these afflicted patients.
Keywords: Fecal incontinence; SECCA; anal physiology; artificial bowel sphincter; sphincteroplasty.
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References
-
- Nelson R, Norton N, Cautley E, Furner S. Community-based prevalence of anal incontinence. JAMA. 1995;274:559–561. - PubMed
-
- Nelson R L. Epidemiology of fecal incontinence. Gastroenterology. 2004;126:S3–S7. - PubMed
-
- Faridi A, Willis S, Schelzig P, Siggelkow W, Schumpelick V, Rath W. Anal sphincter injury during vaginal delivery—an argument for cesarean section on request? J Perinat Med. 2002;30:379–387. - PubMed
-
- Counihan T C, Madoff R D. In: Fazio VW, Church JM, Delaney CP, editor. Current Therapy in Colon and Rectal Surgery. 2nd ed. Philadelphia: Elsevier Mosby; 2005. Fecal incontinence. pp. 105–112.
-
- Jackson S L, Weber A M, Hull T L, Mitchinson A R, Walters M D. Fecal incontinence in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol. 1997;89:423–427. - PubMed