Fecal Incontinence: Evaluation and Treatment
Key Concepts
- A thorough history and physical examination and conservative management measures should be the initial step in managing fecal incontinence.
- Preoperative physiology testing can assist the surgeon in selecting the optimal treatment modality.
- Sacral neuromodulation is successful for patients with and without sphincter defects; however, reinterventions are not uncommon.
- Biomaterial injection may provide limited benefits.
- Overlapping sphincteroplasty is an option for younger patients with an isolated sphincter injury, as after obstetric injury.
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Last updated: January 26, 2022
Citation
Silva, Giovanna d, and Anders Mellgren. "Fecal Incontinence: Evaluation and Treatment." ASCRS Textbook of Colon and Rectal Surgery, 2022. ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285058/all/Fecal_Incontinence:_Evaluation_and_Treatment.
Silva Gd, Mellgren A. Fecal Incontinence: Evaluation and Treatment. ASCRS Textbook of Colon and Rectal Surgery. 2022. https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285058/all/Fecal_Incontinence:_Evaluation_and_Treatment. Accessed June 8, 2023.
Silva, G. d., & Mellgren, A. (2022). Fecal Incontinence: Evaluation and Treatment. In ASCRS Textbook of Colon and Rectal Surgery https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285058/all/Fecal_Incontinence:_Evaluation_and_Treatment
Silva Gd, Mellgren A. Fecal Incontinence: Evaluation and Treatment [Internet]. In: ASCRS Textbook of Colon and Rectal Surgery. ; 2022. [cited 2023 June 08]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285058/all/Fecal_Incontinence:_Evaluation_and_Treatment.
* Article titles in AMA citation format should be in sentence-case
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AU - Mellgren,Anders,
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