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 language | English (US) |
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Pages (from-to) | 316-322 |
Number of pages | 7 |
Journal | Current gastroenterology reports |
Volume | 13 |
Issue number | 4 |
DOIs | |
State | Published - Aug 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