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)