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Neurologic fecal incontinence.

J J Wyndaele1, A Kovindha, Y Igawa

  • 1University Antwerp and Antwerp University Hospital, Edegem, Belgium. jean-jacques.wyndaele@ua.ac.be

Neurourology and Urodynamics
|December 22, 2009
PubMed
Summary

This review examines neurologic fecal incontinence (FI) management in patients with neurologic conditions. While current data guide care, high-level evidence for diagnosis and treatment of FI is limited, necessitating further research.

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Area of Science:

  • Urology
  • Neurology
  • Gastroenterology

Background:

  • Summarizes work from the International Consultation on Incontinence (2008-2009) concerning neurologic bladder and bowel dysfunction.
  • Focuses specifically on neurologic fecal incontinence (FI) due to the extensive data available.

Purpose of the Study:

  • To review and synthesize current knowledge on the pathophysiology, epidemiology, diagnosis, and treatment of neurologic fecal incontinence.
  • To establish levels of evidence and grades of recommendation for managing neurologic FI.

Main Methods:

  • Conducted an in-depth literature review covering all aspects of neurologic urinary and fecal incontinence.
  • Evaluated studies to determine levels of evidence for various diagnostic and therapeutic interventions.

Main Results:

  • Summarized the pathophysiology of neurologic FI based on lesion levels.
  • Provided recommendations for epidemiology, diagnostics, conservative treatment, and surgical treatment of neurologic FI, assigning levels of evidence and grades of recommendation.

Conclusions:

  • Acknowledged the availability of data to guide the management of FI in neurologic patients.
  • Highlighted the scarcity of high-level evidence and strong recommendations, emphasizing the need for more robust research.