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05:39
Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
Published on: June 23, 2023
[Current management of anal incontinence]
Y Cerantola1, S Aellen, J-C Givel
1Service de chirurgie viscérale, CHUV, 1011 Lausanne. yannick.cerantola@chuv.ch
Revue Medicale Suisse
|September 1, 2009
Summary
Anal incontinence, a common yet underreported condition, significantly impacts patients and society. This article outlines comprehensive strategies for identifying and treating anal incontinence, especially when conservative measures fail.
Area of Science:
- Gastroenterology and Urology
- Pelvic Floor Disorders
Context:
- Anal incontinence affects a significant population, causing a major burden.
- It remains a "closet issue", with less than a third of patients consulting physicians.
- The incidence varies widely (2-50%) due to underreporting.
Purpose:
- To suggest a comprehensive approach for identifying and treating anal incontinence.
- To highlight the need for a multidisciplinary team due to associations with urinary incontinence and pelvic organ prolapse.
Summary:
- Conservative treatments (dietary, medical, rehabilitative) are initial steps.
- Sacral neuromodulation is a viable option when conservative treatments fail.
- Surgery is reserved for cases with major structural defects.
Impact:
- A systematic approach can improve patient outcomes and reduce societal burden.
- Increased physician awareness and patient disclosure are crucial for accurate diagnosis.
- Multidisciplinary care ensures holistic management of this complex condition.
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