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Faecal incontinence: Current knowledges and perspectives.

Alban Benezech1, Michel Bouvier1, Véronique Vitton1

  • 1Alban Benezech, Michel Bouvier, Véronique Vitton, Service de Gastroentérologie, Hôpital Nord, Assistance Publique-Hôpitaux de Marseille, 13915 Marseille, France.

World Journal of Gastrointestinal Pathophysiology
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Summary
This summary is machine-generated.

Faecal incontinence (FI) affects 5-15% of people, significantly impacting quality of life. This review covers current and emerging treatments for FI, offering new hope for patients.

Keywords:
Faecal incontinenceTreatment

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Rehabilitation

Background:

  • Faecal incontinence (FI) is a prevalent and disabling condition affecting 5-15% of the general population.
  • FI significantly diminishes patients' quality of life, necessitating effective management strategies.
  • A wide spectrum of therapeutic options exists, ranging from conservative measures to surgical interventions.

Purpose of the Study:

  • To review current therapeutic options for faecal incontinence (FI).
  • To highlight emerging and novel treatment modalities for FI.
  • To provide an overview of the evolving landscape of FI management.

Main Methods:

  • Literature review of current and developing treatments for faecal incontinence.
  • Categorization of treatments into conservative, minimally invasive, and surgical approaches.
  • Inclusion of novel non-invasive and invasive techniques.

Main Results:

  • Conservative treatments include diet, medication, anorectal rehabilitation, tibial nerve stimulation, and transanal irrigation.
  • Minimally invasive options comprise sacral nerve modulation and antegrade irrigation.
  • Surgical interventions, such as external anal sphincter repair, are available.
  • Emerging non-invasive therapies include α1-adrenoceptor agonists, stem cells, botulinum toxin, and acupuncture.
  • Promising invasive techniques under development include anal magnetic sphincter and antropylorus transposition.

Conclusions:

  • A diverse range of treatments is available for faecal incontinence (FI).
  • Novel therapeutic approaches, both non-invasive and invasive, offer new hope for patients with FI.
  • Continued research and development are crucial for advancing FI management.