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Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 11/2007

01-11-2007 | Current Status

Evolving Therapy for Fecal Incontinence

Authors: Jane J. Y. Tan, M.B.B.S., M.R.C.S., Miranda Chan, M.B.B.S., F.R.A.C.S, Joe J. Tjandra, M.D., F.R.A.C.S.

Published in: Diseases of the Colon & Rectum | Issue 11/2007

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Abstract

Background

Fecal incontinence is common and can be socially debilitating. Nonoperative management of fecal incontinence includes dietary modification, antidiarrheal medication, and biofeedback. The traditional surgical approach is sphincteroplasty if there is a defect of the external sphincter. Innovative treatment modalities have included sacral nerve stimulation, injectable implants, dynamic graciloplasty, and artificial bowel sphincter.

Discussion

This review was designed to assess the various surgical options available for fecal incontinence and critically evaluate the evidence behind these procedures. The algorithm in the surgical treatment of fecal incontinence is shifting. Injectable therapy and sacral nerve stimulation are likely to be the mainstay in future treatment of moderate and severe fecal incontinence, respectively. Sphincteroplasty is limited to a small group of patients with isolated defect of the external sphincter. A stoma, although effective, can be avoided in most cases.
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Metadata
Title
Evolving Therapy for Fecal Incontinence
Authors
Jane J. Y. Tan, M.B.B.S., M.R.C.S.
Miranda Chan, M.B.B.S., F.R.A.C.S
Joe J. Tjandra, M.D., F.R.A.C.S.
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 11/2007
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-007-9009-2

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