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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Drugs for Treatment of Constipation-Predominant IBS01:21

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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Perineal Layer
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Related Experiment Video

Updated: May 19, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

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Published on: June 16, 2022

[The artificial sphincter: therapy for faecal incontinence].

U Baumgartner1

  • 1Allgemein- und Viszeralchiurgie, Kreiskrankenhaus Emmendingen, Emmendingen, Deutschland. u.baumgartner@krankenhausemmendingen.de

Zentralblatt Fur Chirurgie
|August 31, 2012
PubMed
Summary

Artificial anal sphincters offer significant improvement for fecal incontinence when conservative treatments fail. While both devices have high reoperation rates, they notably enhance patients' quality of life.

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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Area of Science:

  • Gastroenterology
  • Surgical Devices
  • Pelvic Floor Disorders

Background:

  • Faecal incontinence (FI) significantly impacts patients' professional, social, and sexual lives, often leading to depression and isolation.
  • Conservative treatments, including dietary changes, pelvic re-education, biofeedback, bulking agents, and irrigation, are the first line of therapy for FI.
  • When conservative measures and other surgical options fail, an artificial anal sphincter may be considered for appropriate patients.

Purpose of the Study:

  • To discuss the indications, implantation techniques, and outcomes of artificial anal sphincters for managing refractory faecal incontinence.
  • To compare two established artificial anal sphincter devices: the artificial bowel sphincter (ABS) and the soft anal band.

Main Methods:

  • Description of the implantation procedure for both the ABS and the soft anal band, involving a silicon cuff placed around the anal canal and connected to a fluid reservoir and a patient-operated pump.
  • Surgical placement is performed under aseptic conditions via perianal incisions, with components positioned subcutaneously.

Main Results:

  • Both artificial anal sphincter devices significantly improve anal continence and quality of life for patients with faecal incontinence.
  • The artificial bowel sphincter (ABS) is associated with high rates of infection and cuff penetration, leading to explantation in up to 60% of cases.
  • The soft anal band appears to have lower complication rates related to infection and penetration, though it may require valve replacement due to defunctioning.

Conclusions:

  • Artificial anal sphincters are effective in significantly improving faecal incontinence and patient quality of life.
  • Both the ABS and the soft anal band have high reoperation rates, necessitating careful patient selection and management.
  • While complications differ between devices, both represent a viable ultimo surgical option for carefully selected patients with severe faecal incontinence unresponsive to other treatments.