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Idiopathic fecal incontinence.

R M Caputo1, J T Benson

  • 1Department of Gynecology, Methodist Hospital of Indiana, Indianapolis 46202.

Current Opinion in Obstetrics & Gynecology
|August 1, 1992
PubMed
Summary

Pelvic floor dysfunction, often linked to nerve damage, can cause prolapse and incontinence. This review focuses on idiopathic fecal incontinence, a posterior compartment issue, and its connection to neuropathy.

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Area of Science:

  • Urogynecology
  • Neurology
  • Pelvic Floor Disorders

Background:

  • Pelvic floor dysfunction involves neuropathic injury to pelvic floor muscles.
  • Clinical presentations include genital prolapse, urinary, or fecal incontinence.
  • Posterior compartment disorders are less familiar to gynecologists.

Purpose of the Study:

  • To review the latest findings on idiopathic fecal incontinence.
  • To discuss idiopathic fecal incontinence within the context of pelvic floor dysfunction and neuropathy.

Main Methods:

  • Literature review of recent findings on idiopathic fecal incontinence.
  • Analysis of the relationship between pelvic floor neuropathy and posterior compartment defects.

Main Results:

  • Idiopathic fecal incontinence is a progressive deterioration of anal sphincter function without prior sphincter damage.
  • Neuropathic injury is a key factor in pelvic floor dysfunction and incontinence.

Conclusions:

  • Comprehensive evaluation of all pelvic compartments is crucial for successful treatment outcomes.
  • Understanding the neuropathic basis of idiopathic fecal incontinence is essential for effective management.

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