Fecal Incontinence

Adil E. Bharucha, Karthik Ravi

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Fecal incontinence (FI) is commonly defined as the involuntary loss of feces, and has significant psychosocial consequences. Several factors, and in particular anal sphincter trauma secondary to obstetric injury, have been implicated to cause FI. The clinical evaluation is very useful for assessing symptom severity and for guiding management. Testing is guided by clinical features and the response to therapy and generally begins with anorectal manometry. Additional tests (e.g., endoanal ultrasound, defecography, pelvic MRI, and anal electromyography) are useful in selected cases. In many patients, patient education and management of disordered bowel habits are very useful for improving fecal continence; pelvic floor retraining may be useful for patients who do not respond to these measures. Although anal sphincteroplasty improves fecal continence in the short term, the beneficial effects wane over time.

Original languageEnglish (US)
Title of host publicationPractical Gastroenterology and Hepatology
Subtitle of host publicationSmall and Large Intestine and Pancreas
PublisherWiley-Blackwell
Pages205-211
Number of pages7
ISBN (Print)9781405182744
DOIs
StatePublished - Aug 31 2010

Keywords

  • Anorectal
  • Fecal continence
  • Stool leakage
  • Urgency

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Bharucha, A. E., & Ravi, K. (2010). Fecal Incontinence. In Practical Gastroenterology and Hepatology: Small and Large Intestine and Pancreas (pp. 205-211). Wiley-Blackwell. https://doi.org/10.1002/9781444328417.ch30