BACKGROUND: Faecal incontinence is a life style-limiting condition with multiple aetiologies. Surgical cure is not often possible. METHODS AND RESULTS: A review of the literature was undertaken using Medline, Cochrane database and standard textbooks. Advanced imaging techniques now inform the treatment algorithm and objectively assess success. The long-term outcome of anal surgery is uncertain. Modern approaches favour conservative measures, such as biofeedback, and less invasive surgical procedures. Stoma formation is a definitive option for some patients. CONCLUSION: Current treatment of faecal incontinence is evolving from a sphincter-focused view to a more holistic one, recognizing the influence of the pelvic floor and psyche in maintaining continence. Modern imaging modalities direct treatment strategies. Copyright (c) 2007 British Journal of Surgery Society Ltd.
BACKGROUND: Faecal incontinence is a life style-limiting condition with multiple aetiologies. Surgical cure is not often possible. METHODS AND RESULTS: A review of the literature was undertaken using Medline, Cochrane database and standard textbooks. Advanced imaging techniques now inform the treatment algorithm and objectively assess success. The long-term outcome of anal surgery is uncertain. Modern approaches favour conservative measures, such as biofeedback, and less invasive surgical procedures. Stoma formation is a definitive option for some patients. CONCLUSION: Current treatment of faecal incontinence is evolving from a sphincter-focused view to a more holistic one, recognizing the influence of the pelvic floor and psyche in maintaining continence. Modern imaging modalities direct treatment strategies. Copyright (c) 2007 British Journal of Surgery Society Ltd.
Authors: Rachel N Pauls; Rebecca G Rogers; Mitesh Parekh; Joan Pitkin; Dorothy Kammerer-Doak; Peter Sand Journal: Int Urogynecol J Date: 2014-11-13 Impact factor: 2.894
Authors: Christoph Isbert; Nicolas Schlegel; Joachim Reibetanz; Katica Krajinovic; Karsten Schmidt; Christoph-Thomas Germer; Mia Kim Journal: Int J Colorectal Dis Date: 2015-02-10 Impact factor: 2.571
Authors: Michał Nowakowski; Krzysztof A Tomaszewski; Roman M Herman; Jerzy Sałówka; Michał Romaniszyn; Mateusz Rubinkiewicz; Jerzy A Walocha Journal: Int J Colorectal Dis Date: 2014-04-18 Impact factor: 2.571