Recent advances in functional anorectal disorders

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

Defecatory disorders are a common cause of chronic constipation and should be managed by biofeedback-guided pelvic floor retraining. While anorectal tests are necessary to diagnose defecatory disorders, recent studies highlight the utility of a careful digital rectal examination. While obstetric anal injury can cause fecal incontinence (FI), diarrhea is a more important risk factor for FI among women in the community, who typically develop FI after age 40. Initial management of fecal incontinence should focus on bowel disturbances. Pelvic floor retraining with biofeedback therapy is beneficial for patients who do not respond to bowel management. Sacral nerve stimulation should be considered in patients who do not respond to conservative therapy.

Original languageEnglish (US)
Pages (from-to)316-322
Number of pages7
JournalCurrent gastroenterology reports
Volume13
Issue number4
DOIs
StatePublished - Aug 1 2011

Keywords

  • Anal incontinence
  • Anal sphincter injury
  • Balloon expulsion test
  • Bariatric surgery
  • Biofeedback
  • Bulking-agent
  • Cholecystectomy
  • Community
  • Constipation
  • Defecatory disorders
  • Digital rectal examination
  • Electrical therapy
  • Fecal incontinence
  • Functional anorectal disorders
  • Gastric bypass
  • Irritable Bowel Syndrome (IBS)
  • NASHA Dx
  • Obstetric
  • Pelvic floor retraining
  • Primiparous
  • Radio frequency
  • Rectal sensation
  • Risk factors
  • Sacral nerve stimulation

ASJC Scopus subject areas

  • Gastroenterology

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