Trattamento dell'incontinenza fecale

Translated title of the contribution: The treatment of fecal incontinence

G. Romano, F. Bianco, P. Esposito

Research output: Contribution to journalArticlepeer-review

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.

Translated title of the contributionThe treatment of fecal incontinence
Original languageItalian
Pages (from-to)769-775
Number of pages7
JournalMinerva Chirurgica
Volume58
Issue number6
Publication statusPublished - Dec 2003

ASJC Scopus subject areas

  • Surgery

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