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Surgical Therapy for Fecal Incontinence

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Female Pelvic Surgery

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Abstract

Fecal incontinence is a common condition that is frequently underreported. Although the most common causative factor is obstetric injury, the origin can frequently be multifactorial. A thorough history and physical examination is necessary to determine the source of the problem. Physiologic and radiologic tests may be added to assist in diagnosis and also in directing treatment. First line treatment consists of medical management and in some cases physical therapy. If this fails then surgical intervention is considered. Surgery consists of overlapping sphincteroplasty, the injection of bulking agents, and sacral nerve stimulation and less frequently anal encirclement procedures, radiofrequency ablation, artificial bowel sphincter, and muscle transposition. A diverting stoma may be considered as a last resort.

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  1. Department of General Surgery, Division of Colon and Rectal Surgery, Weill Cornell Medical College/New York Presbyterian Hospital, New York, NY, USA

    Kelly A. Garrett M.D., F.A.C.S., F.A.S.C.R.S.

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Correspondence to Kelly A. Garrett M.D., F.A.C.S., F.A.S.C.R.S. .

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  1. LIJ School of Medicine, The Smith Institute for Urology Hofstra North Shore-, Lake Success, New York, USA

    Farzeen Firoozi

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Garrett, K.A. (2015). Surgical Therapy for Fecal Incontinence. In: Firoozi, F. (eds) Female Pelvic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1504-0_16

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