Fecal Incontinence: Evaluation and Treatment [sounds like]
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Management of Fecal Incontinence (2023)- METHODOLOGY
- Certainty of Evidence
- EVALUATION
- A History Should Be Obtained to Help Determine the Cause of Incontinence and Should Include Specific Risk Factors for Incontinence and Characterize the Duration and Severity of Symptoms
- Measures That Assess the Nature and Severity of Incontinence and the Impact of Incontinence on Quality of Life Should Be Used as a Part of the Assessment of FI
- Anorectal Physiology Testing (Manometry, Anorectal Sensation, Volume Tolerance, and Compliance) Can Be Considered to Help Define the Elements of Dysfunction and Guide Management
- NONOPERATIVE MANAGEMENT
- Dietary and Medical Management Are Recommended as First-Line Therapy for Patients With FI
- Vaginal Mechanical Inserts Are Not Routinely Recommended for FI
- Anal Mechanical Insert Devices Are Not Routinely Recommended for FI
- SURGICAL MANAGEMENT
- Sacral Neuromodulation May Be Considered as a First-Line Surgical Option for Incontinent Patients With or Without Sphincter Defects
- Injection of Biocompatible Bulking Agents Into the Anal Canal Is Not Routinely Recommended for the Treatment of FI
- Application of Temperature-Controlled Radiofrequency Energy to the Sphincter Complex Is Not Recommended to Treat FI
- Antegrade Colonic Enemas Can Be Considered in Highly Motivated Patients Who Are Seeking an Alternative to a Stoma
- References
Treatment of Rectal Prolapse (2017)
Measuring Pelvic Floor Disorder Symptoms Using Patient-Reported Instruments
Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula (2022)
Evaluation and Management of Chronic Constipation (2024)
Consensus Definitions and Interpretation Templates for Dynamic Ultrasound Imaging of Defecatory Pelvic Floor Disorders
Management of Anal Fissures (2023)
Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders
Management of Hemorrhoids (2024)
Treatment of Chronic Radiation Proctitis (2018)
Surgical Management of Ulcerative Colitis (2021)
Consensus Definitions and Interpretation Templates for Magnetic Resonance Imaging of Defecatory Pelvic Floor Disorders
Perioperative Evaluation and Management of Frailty Among Older Adults Undergoing Colorectal Surgery (2022)
Management of Rectal Cancer (2020)
Ostomy Surgery (2022)






