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Review
. 2016 Mar;43(1):93-119.
doi: 10.1016/j.ogc.2015.10.005.

Evidence-Based Update on Treatments of Fecal Incontinence in Women

Isuzu Meyer  1 , Holly E Richter  2
Affiliations
Review

Evidence-Based Update on Treatments of Fecal Incontinence in Women

Isuzu Meyer et al. Obstet Gynecol Clin North Am. 2016 Mar.

Abstract

Fecal incontinence is a highly prevalent and distressing condition that has a negative impact on quality of life. The etiology is often multifactorial, and the evaluation and treatment of this condition can be hindered by a lack of understanding of the mechanisms and currently available treatment options. This article reviews the evidence-based update for the management of fecal incontinence.

Keywords: Accidental bowel leakage; Anal incontinence; Anal sphincter; Defecatory disorders; Fecal incontinence; Surgical treatment; Treatment.

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Figures

Figure 1
Figure 1. Long-term Efficacy outcomes of sphincteroplasty
From Glasgow SC and Lowry AC, Long-term Outcomes of Anal Sphincter Repair for Fecal Incontinence: A Systematic Review, Diseases of the Colon & Rectum, Vol 55, 482-490, Copyright: Wolters Kluwer Health, Inc. (2012); with permission.
Figure 2
Figure 2. Dextranomer-microspheres in sodium hyaluronate gel injection (Solesta™)
Reprinted with permission from Salix Pharmaceuticals, a division of Valeant Pharmaceuticals, Inc.
Figure 3
Figure 3. Radiofrequency Ablation Therapy (Secca®)
© 2015 Mederi Therapeutics Inc.
Figure 4
Figure 4. Anal Plug (RENEW Inserts)
Reprinted with permission from Renew Medical, Inc.
Figure 5
Figure 5. Vaginal Bowel Control system (Eclipse™ System)
5A and 5B: From Richter HE, Matthews CA, Takase-Sanchez MM, et al. A vaginal bowel-control system for the treatment of fecal incontinence, Obstetrics and Gynecology, Vol 125 (3) 540-7, Copyright: Wolters Kluwer Health, Inc. (2015); with permission. 5C: Reprinted with permission from Pelvalon, Inc.
Figure 6
Figure 6. Magnetic Anal Sphincter (FENIX™ Continence Restoration System)
A: Magnetic attraction augmenting the anal sphincter B. MAS expands to allow passage of stool Reprinted with permission from Torax Medical, Inc.
See this image and copyright information in PMC

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