Management of fecal incontinence

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Fecal incontinence is a common condition that often impairs quality of life. It is generally caused by a variety of conditions that are associated with anorectal sensorimotor dysfunction and/or diarrhea. A detailed characterization of symptoms, particularly bowel habits, is useful for assessing symptom severity and guiding management. A careful digital rectal examination is invaluable for gauging anal resting and squeeze pressures and anorectal evacuation. Tests should be tailored to age, symptom severity, and response to previous therapy. Anorectal manometry and sphincter imaging are useful starting tests. Depending upon the clinical circumstances, additional testing and therapeutic options may be useful. Fecal continence can be improved by measures to regulate bowel habits and pelvic floor retraining. Surgical repair of anal sphincter defects improves fecal continence in the short but not in the long term. Newer surgical therapies and devices are of limited and/or unproven utility.

Original languageEnglish (US)
Pages (from-to)807-817
Number of pages11
JournalGastroenterology and Hepatology
Volume4
Issue number11
StatePublished - Nov 2008

Fingerprint

Fecal Incontinence
Habits
Digital Rectal Examination
Pelvic Floor
Manometry
Anal Canal
Diarrhea
Therapeutics
Quality of Life
Pressure
Equipment and Supplies

Keywords

  • Anal incontinence
  • Diagnosis
  • Fecal incontinence
  • Management

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

Management of fecal incontinence. / Bharucha, Adil Eddie.

In: Gastroenterology and Hepatology, Vol. 4, No. 11, 11.2008, p. 807-817.

Research output: Contribution to journalArticle

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