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Related Experiment Videos

Evaluating patients with anorectal incontinence.

Gregory Kouraklis1, Nicolaos Andromanakos

  • 1Second Department of Propedeutic Surgery, Medical School, University of Athens, Athens, Greece.

Surgery Today
|March 31, 2004
PubMed
Summary

Fecal incontinence affects all ages, necessitating thorough assessment for effective treatment. Key investigations like manometry and endosonography identify treatable causes of this debilitating condition.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Urology

Background:

  • Fecal incontinence is a significant disability affecting both elderly and younger populations.
  • Accurate assessment is crucial for selecting appropriate treatments for anorectal incontinence.
  • While scoring systems exist, few adequately capture the impact on quality of life.

Purpose of the Study:

  • To emphasize the importance of comprehensive assessment in fecal incontinence.
  • To review diagnostic investigations for evaluating anorectal incontinence.
  • To highlight key tests for identifying treatable causes.

Main Methods:

  • Detailed history-taking and physical examination.
  • Review of various anorectal physiological investigations including manometry, endosonography, and nerve conduction studies.
  • Evaluation of incontinence scoring systems.

Main Results:

  • History and physical exam are fundamental for diagnosing most incontinence cases.
  • Several objective tests are available, including manometry, endosonography, and pudendal nerve terminal motor latency testing.
  • These key tests can identify specific anatomic or physiologic abnormalities.

Conclusions:

  • Thorough patient assessment is paramount for managing fecal incontinence.
  • Specific investigations like anal manometry, anal endosonography, and pudendal nerve terminal motor latency testing are vital.
  • Identifying underlying causes through these tests enables targeted and effective treatment strategies.

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