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[Fecal incontinence: various causes and treatments]
1Academisch Ziekenhuis Vrije Universiteit, afd. Gastro-enterologie en Gastro-intestinale Chirurgie, Amsterdam. felt@mdl.azr.nl
Nederlands Tijdschrift Voor Geneeskunde
|June 9, 2001
Summary
Faecal incontinence can result from sphincter defects, often linked to defecation issues or childbirth trauma. Treatment includes conservative measures or surgery for sphincter defects, offering patients improved outcomes.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Faecal incontinence is a common condition with various causes.
- Sphincter defects are a significant factor in faecal incontinence.
- Disturbed defecation patterns and obstetric trauma are frequent etiologies.
Observation:
- Three patients (two female, one male) with long-standing faecal incontinence were studied.
- All patients presented with anal sphincter defects.
- Two patients received conservative management, while one underwent surgical treatment.
Findings:
- Conservative treatments include dietary changes, laxatives, pelvic floor exercises, and enemas.
- Surgical intervention, specifically sphincteroplasty, is indicated when conservative methods fail and a sphincter defect is confirmed.
- Both conservative and surgical approaches yielded acceptable results for the patients.
Implications:
- Anal endosonography is crucial for diagnosing anal sphincter defects.
- A multi-faceted approach to treatment, tailored to the individual patient, is recommended.
- Effective management strategies can significantly improve the quality of life for individuals with faecal incontinence.