Abstract
The treatment of faecal incontinence includes: the education of the patient, medical therapy, biofeedback and sphincteric exercises, surgical therapy. Conservative, non-surgical treatment is almost always the initial therapeutic approach, except in those cases in which an evident defect of the sphincter muscle is present. Surgical treatment has seen a noteworthy increase in the last fifteen years as a consequence of the development of new surgical techniques. These techniques include: external anal sphincter plasty, pelvic floor plasties, sacral neuromodulation, muscular transpositions with or without electrostimulation, artificial anal sphincter. These procedures may be employed as first or second level treatment depending on the type of pathology considered and its aetiology. The 1st results achieved by surgical treatment authorise us to believe that reconversion with artificial sphincter is a valid alternative to graciloplasty, notwithstanding the fact that its costs are higher. Attentive preoperative assessment of patients is important. Patients must be strongly motivated and able to manage the new condition. Although further studies are necessary, the degree of satisfactory of the 1 st patients operated is the best stimulus for pursuing the development of this technique.
| Original language | Italian |
|---|---|
| Pages (from-to) | 769-775 |
| Number of pages | 7 |
| Journal | Minerva Chirurgica |
| Volume | 58 |
| Issue number | 6 |
| Publication status | Published - Dec 2003 |
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ASJC Scopus subject areas
- Surgery
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Trattamento dell'incontinenza fecale. / Romano, G.; Bianco, F.; Esposito, P.
In: Minerva Chirurgica, Vol. 58, No. 6, 12.2003, p. 769-775.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trattamento dell'incontinenza fecale
AU - Romano, G.
AU - Bianco, F.
AU - Esposito, P.
PY - 2003/12
Y1 - 2003/12
N2 - The treatment of faecal incontinence includes: the education of the patient, medical therapy, biofeedback and sphincteric exercises, surgical therapy. Conservative, non-surgical treatment is almost always the initial therapeutic approach, except in those cases in which an evident defect of the sphincter muscle is present. Surgical treatment has seen a noteworthy increase in the last fifteen years as a consequence of the development of new surgical techniques. These techniques include: external anal sphincter plasty, pelvic floor plasties, sacral neuromodulation, muscular transpositions with or without electrostimulation, artificial anal sphincter. These procedures may be employed as first or second level treatment depending on the type of pathology considered and its aetiology. The 1st results achieved by surgical treatment authorise us to believe that reconversion with artificial sphincter is a valid alternative to graciloplasty, notwithstanding the fact that its costs are higher. Attentive preoperative assessment of patients is important. Patients must be strongly motivated and able to manage the new condition. Although further studies are necessary, the degree of satisfactory of the 1 st patients operated is the best stimulus for pursuing the development of this technique.
AB - The treatment of faecal incontinence includes: the education of the patient, medical therapy, biofeedback and sphincteric exercises, surgical therapy. Conservative, non-surgical treatment is almost always the initial therapeutic approach, except in those cases in which an evident defect of the sphincter muscle is present. Surgical treatment has seen a noteworthy increase in the last fifteen years as a consequence of the development of new surgical techniques. These techniques include: external anal sphincter plasty, pelvic floor plasties, sacral neuromodulation, muscular transpositions with or without electrostimulation, artificial anal sphincter. These procedures may be employed as first or second level treatment depending on the type of pathology considered and its aetiology. The 1st results achieved by surgical treatment authorise us to believe that reconversion with artificial sphincter is a valid alternative to graciloplasty, notwithstanding the fact that its costs are higher. Attentive preoperative assessment of patients is important. Patients must be strongly motivated and able to manage the new condition. Although further studies are necessary, the degree of satisfactory of the 1 st patients operated is the best stimulus for pursuing the development of this technique.
KW - Fecal incontinence, diagnosis
KW - Fecal incontinence, therapy
KW - Treatment outcome
UR - http://www.scopus.com/inward/record.url?scp=0842328396&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0842328396&partnerID=8YFLogxK
M3 - Articolo
VL - 58
SP - 769
EP - 775
JO - Minerva Chirurgica
JF - Minerva Chirurgica
SN - 0026-4733
IS - 6
ER -