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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.
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What Is Fecal Incontinence That Urologists Need to Know?

HongWook Kim1,2, Jisung Shim3, Yumi Seo4

  • 1Department of Urology, Konyang University College of Medicine, Daejeon, Korea.

International Neurourology Journal
|January 28, 2021
PubMed
Summary

Fecal incontinence (FI) significantly impacts quality of life. Diagnosis requires thorough investigation, with treatments ranging from lifestyle changes to surgical interventions for improved bowel control.

Keywords:
Fecal incontinenceGraciloplastySacral nerve stimulationSphincteroplasty

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Area of Science:

  • Gastroenterology
  • Urology
  • Geriatrics

Background:

  • Fecal incontinence (FI) negatively affects quality of life and social interactions.
  • FI prevalence increases with age and is often underdiagnosed in patients with genitourinary disease.

Purpose of the Study:

  • To outline diagnostic approaches for fecal incontinence.
  • To review current management strategies for fecal incontinence.

Main Methods:

  • Diagnostic methods include questionnaires, physical examination (digital rectal exam), ultrasound, colonoscopy, and anorectal manometry.
  • Management involves patient education on diet and bowel function, conservative treatments (diet control, Kegel exercises), and surgical options.

Main Results:

  • Non-operative management is the initial approach.
  • Surgical interventions range from minimally invasive (bulking agents) to complex procedures (sacral nerve stimulation, sphincter repair, artificial bowel sphincter).
  • Barrier devices show promising outcomes for fecal incontinence.

Conclusions:

  • Comprehensive evaluation is crucial for diagnosing fecal incontinence.
  • A stepwise approach, starting with conservative measures and progressing to surgical options if needed, is recommended.
  • Various treatment modalities exist, offering improved outcomes for patients with fecal incontinence.