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Fecal Incontinence: Introduction

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Pelvic Floor Disorders

Abstract

Continence depends on a number of factors that include stool consistency, the capacity of the sigmoid colon to retard progress of stool, the compliance and sensation of urgency of the rectum, phasic contractions of the puborectalis muscle to form a normal anorectal angle, a normal internal (IAS) and external anal sphincter (EAS) function, and normal sensation in the anal canal [1–3].

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References

  1. Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum 1993;36:77–97.

    Article  PubMed  CAS  Google Scholar 

  2. Santoro GA, Bartolo DCC. Incontinence surgery. In: Beynon J, Carr ND (eds) Recent advances in coloproctology. Springer-Verlag, London, 2000, pp 123–134.

    Google Scholar 

  3. Rudolph W, Galandiuk S. A practical guide to the diagnosis and management of fecal incontinence. Mayo Clin Proc 2002;77:271–275.

    Article  PubMed  Google Scholar 

  4. Oberwalder M, Dinnewitzer A, Baig K et al. The association between late-onset fecal incontinence and obstetric anal sphincter defects. Arch Surg 2004;139:429–432.

    Article  PubMed  Google Scholar 

  5. Parks AG. Anorectal incontinence. J R Soc Med 1975; 68:21–30.

    Google Scholar 

  6. Pescatori M, Anastasio G, Bottini C, Mentasti A. New grading and scoring for anal incontinence. Evaluation of 335 patients. Dis Colon Rectum 1992;35:482–487.

    Article  PubMed  CAS  Google Scholar 

  7. Vaizey CJ, Carapeti E, Cahill JA, Kamm MA. Prospective comparison of fecal incontinence grading systems. Gut 1999;44:77–80.

    Article  PubMed  CAS  Google Scholar 

  8. Rockwood TH, Church JM, Fleshman JW. Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence. Dis Colon Rectum 1999;42:1525–1532.

    Article  PubMed  CAS  Google Scholar 

  9. Rockwood TH, Church JM, Fleshman JW. Fecal incontinence quality of life scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum 2000;43:9–17.

    Article  PubMed  CAS  Google Scholar 

  10. Whitehead WE, Wald A, Norton NJ. Treatment options for fecal incontinence. Dis Colon Rectum 2001;44:131–144.

    Article  PubMed  CAS  Google Scholar 

  11. Keighley MRB, Fielding JWL. Management of faecal incontinence and results of surgical treatment. Br J Surg 1983;70:463–468.

    Article  PubMed  CAS  Google Scholar 

  12. Liberman H, Faria J, Ternent CA et al. A prospective evaluation of the value of anorectal physiology in the management of fecal incontinence. Dis Colon Rectum 2001; 44:1567–1574.

    Article  PubMed  CAS  Google Scholar 

  13. Simpson RR, Kennedy ML, Hung Nguyen M et al. Anal manometry: a comparison of techniques. Dis Colon Rectum 2006;49:1033–1038.

    Article  PubMed  Google Scholar 

  14. Perry RE, Blatchford GJ, Christensen MA et al. Manometric diagnosis of anal sphincter injuries. Am J Surg 1990;159:112–117.

    Article  PubMed  CAS  Google Scholar 

  15. Fleshman JW. Determination of pudendal nerve terminal motor latency. In: Smith LE (ed) Practical guide to anorectal testing. Igaku-Shoin, New-York, 1995, pp 221–226.

    Google Scholar 

  16. Thakar R, Sultan A. Anal endosonography and its role in assessing the incontinent patient. Best Pract Res Clinic Obstet Gynaecol 2004;18:157–173.

    Article  Google Scholar 

  17. Gold DM, Bartram CI, Halligan S et al. Three-dimensional endoanal sonography in assessing anal canal injury. Br J Surg 1999;86:365–370.

    Article  PubMed  CAS  Google Scholar 

  18. Christensen AF, Nyhuus B, Nielsen MB, Christensen H. Three-dimensional anal endosonography may improve diagnostic confidence of detecting damage to the anal sphincter complex. Br J Radiol 2005;78:308–311.

    Article  PubMed  CAS  Google Scholar 

  19. Sentovich SM, Blatchford GJ, Rivela LJ et al. Diagnosing anal sphincter injury with transanal ultrasound and manometry. Dis Colon Rectum 1997;40:1430–1434.

    Article  PubMed  CAS  Google Scholar 

  20. Tjandra JJ, Milsom JW, Schroeder T, Fazio VW. Endoluminal ultrasound is preferable to electromyography in mapping anal sphincter defects. Dis Colon Rectum 1993; 36:689–692.

    Article  PubMed  CAS  Google Scholar 

  21. Stoker J, Rociu E, Zwamborn AW et al. Endoluminal MR imaging of the rectum and anus: technique, applications and pitfalls. Radiographics 1999;19:383–398.

    PubMed  CAS  Google Scholar 

  22. Williams AB, Malouf AJ, Bartram CI et al. Assessment of external anal sphincter morphology in idiopathic fecal incontinence with endocoil magnetic resonance imaging. Dig Dis Sci 2001;46:1466–1471.

    Article  PubMed  CAS  Google Scholar 

  23. Morren GL, Beets-Tan GH, van Engelshoven MA. Anatomy of the anal canal and perianal structures as defined by phased-array magnetic resonance imaging. Br J Surg 2001;88:1506–1512.

    Article  PubMed  CAS  Google Scholar 

  24. Rociu E, Stoker J, Eijkemans MJC et al. Fecal incontinence: endoanal US versus endoanal MR imaging. Radiology 1999;212:453–458.

    PubMed  CAS  Google Scholar 

  25. Beets-Tan RGH, Morren GL, Betts GL et al. Measurement of anal sphincter muscles: endoanal US, endoanal MR imaging, or phased-array MR imaging? A study with healthy volunteers. Radiology 2001;220:81–89.

    PubMed  CAS  Google Scholar 

  26. Bennett RC, Friedman MHW, Goligher JC. Late results of haemorrhoidectomy by ligature and excision. BMJ 1963;2:216–219.

    Article  PubMed  CAS  Google Scholar 

  27. Speakman CT, Burnett SJ, Kamm MA, Bartram CI. Sphincter injury after anal dilatation demonstrated by anal endosonography. Br J Surg 1991;78:1429–1430.

    Article  PubMed  CAS  Google Scholar 

  28. Khubchandani IT, Reed JF. Sequelae of internal sphincterotomy for chronic fissure in ano. Br J Surg 1989; 76:431–434.

    Article  PubMed  CAS  Google Scholar 

  29. Kennedy HL, Zegarra JP. Fistulotomy without external sphincter division for high anal fistula. Br J Surg 1990; 77:898–901.

    Article  PubMed  CAS  Google Scholar 

  30. Fang DT, Nivatvongs S, Vermeulen FD et al. Overlapping sphincteroplasty for acquired anal incontinence. Dis Colon Rectum 1984;27:720–722.

    Article  PubMed  CAS  Google Scholar 

  31. Ctercteko GH, Fazio VW, Jagelman DG et al. Anal sphincter repair: a report of 60 cases and review of the literature. Aust N Z J Surg 1988;58:703–710.

    Article  PubMed  CAS  Google Scholar 

  32. Miller R, Orrom WJ, Cornes H et al. Anterior sphincter plication and levatorplasty in the treatment of faecal incontinence. Br J Surg 1989;76:1058–1060.

    Article  PubMed  CAS  Google Scholar 

  33. Zorcolo L, Covotta L, Bartolo DCC. Outcome of anterior sphincter repair for obstetric injury: comparison of early and late results. Dis Colon Rectum 2005;48:524–531.

    Article  PubMed  Google Scholar 

  34. Faucheron JL, Hannoun L, Thome C, Parc R. Is fecal continence improved by nonstimulated gracilis muscle transposition? Dis Colon Rectum 1994;37:979–983.

    Article  PubMed  CAS  Google Scholar 

  35. Konsten J, Baeten CGMI, Havenith MG, Soeters PB. Morphology of dynamic graciloplasty compared with the anal sphincter. Dis Colon Rectum 1993;35:559–563.

    Article  Google Scholar 

  36. Seccia M, Menconi C, Balestri R, Cavina E. Study protocols and functional results in 86 electrostimulated graciloplasties. Dis Colon Rectum 1994;37:897–904.

    Article  PubMed  CAS  Google Scholar 

  37. Baeten CGMI, Geerdes BP, Adang EMM et al. Anal dynamic graciloplasty in the treatment of intractable faecal incontinence. N Engl J Med 1995;332:1600–1605.

    Article  PubMed  CAS  Google Scholar 

  38. Wexner SD, Gonzalez-Padron A, Rius J et al. Stimulated gracilis neosphincter operation. Dis Colon Rectum 1996; 39:957–964.

    Article  PubMed  CAS  Google Scholar 

  39. Wong WD, Jensen LL, Bartolo DCC, Rothenberger DA. Artificial anal sphincter. Dis Colon Rectum 1996;39:1345–1351.

    Article  PubMed  CAS  Google Scholar 

  40. Malouf AJ, Vaizey CJ, Nicholls RJ, Kamm M. Permanent sacral nerve stimulation for fecal incontinence. Ann Surg 2000;232:143–148.

    Article  PubMed  CAS  Google Scholar 

  41. Ganio E, Ratto C, Masin A et al. Neuromodulation for fecal incontinence: outcome in 16 patients with definitive implant. The initial Italian Sacral Neurostimulation Group (GINS) experience. Dis Colon Rectum 2001;44:965–970.

    Article  PubMed  CAS  Google Scholar 

  42. Matzel KE, Kamm MA, Stosser M et al. Sacral spinal nerve stimulation for faecal incontinence: multicentre study. Lancet 2004;363:1270–1276.

    Article  PubMed  Google Scholar 

  43. Takahashi T, Garcia-Osogobio S, Valdovinos MA et al. Radio-frequency energy delivery to the anal canal for the treatment of fecal incontinence. Dis Colon Rectum 2002; 45:915–922.

    Article  PubMed  Google Scholar 

  44. Efron JE, Corman ML, Fleshman J et al. Safety and effectiveness of temperature-controlled radio-frequency energy delivery to the anal canal (Secca procedure) for the treatment of fecal incontinence. Dis Colon Rectum 2003; 46:1606–1618.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. 1st Department of Surgery, Regional Hospital, Treviso, Italy

    Giuseppe Di Falco MD

  2. Pelvic Floor Unit and Colorectal Service 1st Department of General Surgery, Regional Hospital, Treviso, Italy

    Giulio Aniello Santoro

Authors
  1. Giuseppe Di Falco MD
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  2. Giulio Aniello Santoro
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Editor information

Editors and Affiliations

  1. Pelvic Floor Unit and Colorectal Service 1st Department of General Surgery, Regional Hospital, Treviso, Italy

    Giulio Aniello Santoro (Head) (Head)

  2. Department of Pediatric Radiology Children’s Teaching Hospital, Skubiszewski Medical University of Lublin, Lublin, Poland

    Andrzej Paweł Wieczorek

  3. Diagnostic Imaging, Princess Grace Hospital, London, UK

    Clive I. Bartram

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Di Falco, G., Santoro, G.A. (2010). Fecal Incontinence: Introduction. In: Santoro, G.A., Wieczorek, A.P., Bartram, C.I. (eds) Pelvic Floor Disorders. Springer, Milano. https://doi.org/10.1007/978-88-470-1542-5_35

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  • DOI: https://doi.org/10.1007/978-88-470-1542-5_35

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1541-8

  • Online ISBN: 978-88-470-1542-5

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