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Updated: Jan 24, 2026

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[Fecal incontinence].

Sebastian Lamm1, Robert Rosenberg1

  • 11 Klinik für Chirurgie, Kantonsspital Baselland.

Therapeutische Umschau. Revue Therapeutique
|May 23, 2019
PubMed
Summary
This summary is machine-generated.

Fecal incontinence, often caused by pelvic floor disorders, affects women of all ages and is frequently underreported. Conservative treatments like pelvic floor exercises are recommended first, with sacral nerve modulation as a minimally invasive option if conservative therapies fail.

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Area of Science:

  • Urology
  • Gynecology
  • Gastroenterology

Background:

  • Fecal incontinence (FI) is a prevalent condition with significant impact on quality of life.
  • Prevalence in females increases with age, from 16% in younger women to 40% in elderly women.
  • Pelvic floor disorders are the most common etiology of fecal incontinence, yet many cases remain underreported.

Purpose of the Study:

  • To review the etiology, diagnosis, and management of fecal incontinence, with a focus on pelvic floor disorders.
  • To highlight the importance of addressing underreported cases of fecal incontinence.
  • To discuss conservative and advanced therapeutic options for fecal incontinence.

Main Methods:

  • Literature review focusing on pelvic floor disorders as a cause of fecal incontinence.

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  • Discussion of conservative management strategies including pelvic floor exercises, biofeedback, dietary changes, and pharmacotherapy.
  • Evaluation of sacral nerve modulation as a treatment option for refractory cases.

    • Main Results:

    • Conservative therapies, including pelvic floor exercises and biofeedback, are effective first-line treatments for pelvic floor disorders causing fecal incontinence.
    • Dietary adjustments and fiber supplementation can aid in management.
    • Sacral nerve modulation provides an effective, minimally invasive therapeutic option for patients unresponsive to conservative management.

    Conclusions:

    • Fecal incontinence due to pelvic floor disorders requires a multi-faceted management approach.
    • Early diagnosis and intervention are crucial, given the high prevalence and underreporting.
    • Sacral nerve modulation offers a valuable treatment alternative for select patients.