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Assessing and treating patients with complex fecal incontinence
1Colon and Rectal Surgery Associates, 393 Dunlap Street North, Suite 500, Saint Paul, MN 55104, USA. llj29Fred@AOL.com
Ostomy/Wound Management
|March 14, 2002
Summary
Fecal incontinence, the involuntary loss of stool, affects many but is often underreported. Proper assessment and evolving treatments are key to managing this condition effectively.
Area of Science:
- Gastroenterology
- Pelvic Floor Medicine
Background:
- Fecal incontinence (FI) affects 2.2% of the general population, though prevalence is likely higher due to underreporting.
- FI can cause significant social and psychological distress.
- Effective management requires thorough assessment of pelvic floor anatomy and physiology.
Purpose of the Study:
- To describe current assessment and treatment techniques for fecal incontinence.
- To highlight advancements in understanding pelvic floor physiology related to continence.
- To review established and investigational procedures for complex cases.
Main Methods:
- Comprehensive patient assessment, including physiological testing of pelvic floor muscles and nerves.
- Evaluation of pelvic floor anatomy and physiology to determine etiology.
- Review of current and emerging treatment modalities.
Main Results:
- Physiological testing aids in identifying abnormal pelvic floor function.
- Understanding pelvic floor physiology is crucial for tailored care plans.
- A range of treatment options, from standard to investigational, are available.
Conclusions:
- Accurate assessment is fundamental for effective fecal incontinence management.
- Advances in understanding and treatment are expanding options for patients.
- Addressing the etiology through appropriate interventions improves patient outcomes.