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Recent concepts in fecal incontinence
1Section of Colon and Rectal Surgery, Washington Hospital Center, 110 Irving Street NW, Suite 3B-31, Washington, DC 20010, USA.
Current Women'S Health Reports
|July 13, 2002
Summary
Fecal incontinence, affecting over 2% of Americans, stems from factors like childbirth and surgery. Advances in imaging and surgical techniques offer new hope for restoring bowel control.
Area of Science:
- Gastroenterology and Pelvic Floor Disorders
Background:
- Fecal incontinence (FI) affects over 2% of the US population, significantly impacting quality of life.
- Common causes include vaginal deliveries, pelvic trauma, anorectal surgery, and rectal prolapse.
- Physician knowledge gaps in pelvic floor disorders persist despite technological advancements.
Purpose of the Study:
- To review the current understanding and management of fecal incontinence.
- To highlight the role of advanced imaging and novel surgical techniques in restoring continence.
Main Methods:
- Review of current literature on fecal incontinence causes and treatments.
- Discussion of technological advancements in diagnosis and surgical intervention.
Main Results:
- Improved understanding of anal canal anatomy through endoanal ultrasound and MRI.
- Development of new treatments including muscle translocation, artificial neosphincters, and neuromodulation.
Conclusions:
- Technological progress is enhancing diagnostic capabilities and treatment options for fecal incontinence.
- Novel surgical and neuromodulatory techniques expand the armamentarium for restoring bowel control.