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Can the outcome of pelvic-floor rehabilitation in patients with fecal incontinence be predicted?

PURPOSE: Pelvic-floor rehabilitation does not provide the same degree of relief in all fecal incontinent patients. We aimed at studying prospectively the ability of tests to predict the outcome of pelvic-floor rehabilitation in patients with fecal incontinence. MATERIALS AND METHODS: Two hundred fifty consecutive patients (228 women) underwent medical history and a standardized series of tests, including physical examination, anal manometry, pudendal nerve latency testing, anal sensitivity testing, rectal capacity measurement, defecography, endoanal sonography, and endoanal magnetic resonance…

[Significance of spina bifida occulta in non-retentive fecal incontinence in children].

OBJECTIVE: To explore the pathophysiological significance of spina bifida occulta (SBO) in non-retentive fecal incontinence (NRFI) in children. METHODS: Twenty-seven children with NRFI diagnosed according to the Rome III criteria, 21 with SBO, aged (7.9 +/- 2.4) years, and 6 without SBO, aged (7.5 +/- 1.9) years, and 226 normal controls, aged (8.4 +/- 2.7) years, underwent plain X-ray photography, neurophysiological study, colonic transit test, electromyography (EMG), and anorectal manometry. The resting vector volume, squeezing vector volume, resting EMG amplitude, and squeezing EMG amplitud…

Clostridial sacroiliitis in a patient with fecal incontinence: a case report and review of the literature.

INTRODUCTION: Image-guided sacroiliac joint injections are frequently employed for both diagnostic and therapeutic relief of low back pain. CASE REPORT: An 83-year-old male with chronic lumbrosacral pain previously responsive to right sacroliac joint injections presented for repeat injection. His medical history included Parkinsonism and stool incontinence. Forty-two hours after the injection, he developed fever, dyspnea, and crepitus on the right buttock and thigh. Surgical debridement was recommended, but the family wished for comfort care only. The patient died hours later. The autopsy rev

A randomized physiotherapy trial in patients with fecal incontinence: design of the PhysioFIT-study.

BACKGROUND: Fecal incontinence (FI) is defined as the recurrent involuntary excretion of feces in inappropriate places or at inappropriate times. It is a major and highly embarrassing health care problem which affects about 2 to 24% of the adult population. The prevalence increases with age in both men and women. Physiotherapy interventions are often considered a first-line approach due to its safe and non-invasive nature when dietary and pharmaceutical treatment fails or in addition to this treatment regime. Two physiotherapy interventions, rectal balloon training (RBT) and pelvic floor muscl…

Diagnosing and managing fecal incontinence: if you don't ask, they won't tell.

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Patterns of abnormal pudendal nerve function that are associated with postpartum fecal incontinence.

OBJECTIVE: The purpose of this study was to assess patterns of abnormal pudendal nerve function in women who complain of postpartum fecal incontinence. STUDY DESIGN: During a 12-month period, a cohort of 83 women underwent neurophysiologic assessment as part of an evaluation of fecal incontinence after vaginal delivery. Pudendal nerve assessment consisted of the measurement of the clitoral-anal reflex and quantitative electromyography of the external anal sphincter. Endoanal ultrasound examination and anal manometry were also performed in each patient. RESULTS: Thirty of 83 women (38%) with …

Fecal incontinence severity index after fistulotomy: a predictor of quality of life.

PURPOSE: The purpose of this study was to use the Fecal Incontinence Severity Index to assess fecal incontinence after fistulotomy and to correlate the Fecal Incontinence Severity Index score with quality-of-life measures. METHODS: A retrospective chart review was performed on consecutive patients undergoing fistulotomy by a single colon and rectal surgeon at a university hospital from 1991 to 1999. Demographics, fistula anatomy, surgical technique, and length of follow-up were recorded. Mailed questionnaires and telephone interviews were conducted to determine the Fecal Incontinence Severity…

Radio-frequency energy delivery to the anal canal for the treatment of fecal incontinence.

PURPOSE: In this prospective study we investigated the feasibility, safety, and efficacy of radio-frequency energy delivery deep to the mucosa of the anal canal for the treatment of fecal incontinence. METHODS: We studied ten patients with fecal incontinence of varying causes. All patients underwent anoscopy, anorectal manometry, endorectal ultrasound, and pudendal nerve terminal motor latency testing at baseline and six months. The Cleveland Clinic Florida scale for fecal incontinence (Wexner, 0-20), fecal incontinence-related quality of life score, and Short Form 36 were administered at bas…

Clinical, urodynamic, and manometric findings in women with combined fecal and urinary incontinence.

AIMS: To determine the prevalence of fecal incontinence in patients with urinary incontinence, who were referred for urodynamic evaluation, and to compare clinical and manometric findings between double incontinence and isolated fecal incontinence. METHODS: Nine hundred women with urinary and/or fecal incontinence were prospectively investigated. Patients with double incontinence (group 1) were compared with 38 women with isolated fecal incontinence (group 2). Clinical data regarding obstetric and urogynecologic history, bowel habit, and type of fecal incontinence were collected. Urodynamics …

Role of pudendal canal syndrome in the etiology of fecal incontinence in rectal prolapse.

BACKGROUND: The current communication investigates the role of pudendal canal syndrome in the genesis of fecal incontinence (FI) in complete rectal prolapse (CRP). METHODS: 89 patients with CRP (group A, 45 with FI, and group B, 44 without FI) were studied. Ten healthy volunteers in group C acted as controls. The subjects were assessed for rectal and rectal neck pressures, electromyographic (EMG) activity of the external anal sphincter (EAS) and levator ani, as well as for pudendal nerve terminal motor latency (PNTML). RESULTS: Group-A patients manifested perianal hypo- or anesthesia, dimini…

Pudendal canal decompression for the treatment of fecal incontinence in complete rectal prolapse.

Our recent studies have attributed fecal incontinence (FI) when it is associated with complete rectal prolapse (CRP) to pudendal neuropathy caused by pudendal canal syndrome (PCS). Herein we present the results of pudendal canal decompression (PCD), performed for the treatment of FI in 21 patients whose CRP was corrected by Ivalon sponge rectopexy 5.2 years before presentation. Thirteen patients had partial and eight complete FI. Examination revealed perianal hypoesthesia, diminished rectal neck pressure, reduced electromyographic (EMG) activity of both the external anal sphincter (EAS) and le…

The Malone antegrade continence enema for neurogenic and structural fecal incontinence and constipation.

Problems of fecal elimination are commonly encountered by the pediatric urologist and surgeon. The Malone antegrade continence enema has been described as a means to administer a large volume enema via a continent catheterizable appendicocecostomy, resulting in reliable fecal elimination. Of 22 patients undergoing this procedure 16 reported total continence 4 months or longer after surgery. Complications are relatively minor and tap water appears to be a safe solution for the antegrade continence enema. A nonrefluxing, imbricated appendicocecostomy is preferable to prevent cutaneous fecal or g

[Roentgenologic examination of the large intestine and anorectal area in children with fecal incontinence].

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Fecal incontinence as a hidden disorder among adults aged over 50 years.

INTRODUCTION: FI adversely affects nearly every aspect of daily life. Patients often avoid telling symptoms, and physicians may neglect to inquire about FI symptoms. This study aims to audit the point prevalence of FI, and risk factors among participants older than 50 years old. MATERIALS AND METHODS: Participants older than 50 years whose complaints other than FI were included into the study. They were strictly questioned about FI symptoms according to Rome 4 criteria. Demographics, comorbidities, history of anal surgery, and obstetric history were recorded. An anorectal examination was perfo

Lumbar disc herniation presenting with fecal incontinence without radiculopathy: A case report.

BACKGROUND: Lumbar disc herniation (LDH) usually presents with lower extremity symptoms and signs, but rarely with bladder and bowel complaints. Here, we present a 61-year-old female who suffered solely from fecal incontinence (FI) attributed to a large LDH. CASE DESCRIPTION: The patient presented with FI, but had a normal neurological examination. When the lumbar magnetic resonance imaging of showed a large central L5S1 LDH, the patient underwent an urgent diskectomy. Six months later, her symptoms had improved. CONCLUSION: Patients with large central LDHs may present with FI alone warranti…

Novel approach to treat fecal incontinence with muscle stem cell-based therapy.

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[Gluteus maximus transplantation for fecal incontinence after surgery of high anal atresia].

OBJECTIVE: To investigate the application of gluteus maximus transplantation for fecal incontinence after surgery of high anal atresia. METHODS: Between December 2002 and November 2010, 25 patients with fecal incontinence were treated with gluteus maximus transplantation, which was caused by surgery of high anal atresia. There were 11 males and 14 females with an average age of 10.2 years (range, 3-22 years). Preoperative radiography, anorectal manometer, and electromyogram showed abnormality or deficiency of anal sphincter function. Wexner score, Fecal Incontinence Quality of Life (FIQL) que…

[Fecal incontinence in pediatric age: diagnostic-therapeutic protocol and possible surgical procedures].

Fecal incontinence or soiling always endangers the personality development of a children. For very severe cases, the patient will be limited on his educational and professional training as well as on his sexal life. The outlook of severe cases, the chances of completing school, the choice of professional training and of sexual life in the future will be limited. A corrective procedure for anorectal incontinence depends on the exact investigation of all factors contributing to continence. The aim of this paper is to analyze the diagnostic aspects concerning continence in order to choose for eac…

Воздействие электростимуляции Тибиальной нервы на пациентов с фекалийной непрерывностью: систематический обзор.

Фекалическая недержание (FI) — это состояние, характеризующееся недобровольной потерей стула в результате неспособности контролировать сфинктер и нейромускульные механизмы, ответственные за непрерывность. В качестве лечебной альтернативы при лечении FI использовалась стойкая электрическая стимуляция заднего берцового нерва (запчасти голени) (PTNS). Цель этого исследования заключалась в изучении эффективности. Систематический обзор был проведен в соответствии с рекомендациями и критериями, изложенными в пунктах " PRISMA " (Предпочтительное руководство по представлению отчетности по си

Совпадение в аннотации оригинала
Background and objectiveFecal incontinence (FI) is a condition characterized by the involuntary loss of stool, resulting from the inability to control the sphincter and neuromuscular mechanisms responsible for continence. Percutaneous electrical stimulation of the posterior tibial nerve (posterior tibial nerve stimulation-PTNS) has been used as a therapeutic…

Prevalence and Associated Factors of Fecal Incontinence: A Global Population-Based Study.

BACKGROUND & AIMS: The global prevalence of fecal incontinence (FI) is likely underestimated with an unmet need to identify associated factors to improve patient care. This study aimed to report the global prevalence of FI and to identify associated factors. METHODS: Data from the internet survey of the cross-sectional Rome Foundation Global Epidemiology Study, including 26 countries, were used. The prevalence of any FI, defined as any accidental leakage of stool during the last 3 months, and the prevalence of Rome IV FI were evaluated. The association between other bowel and anorectal sympto…