Novedades en la fisiopatología. Diagnóstico y tratamiento de la incontinencia fecal.

Translated title of the contribution: Current concepts in the pathophysiology, diagnosis and treatment of fecal incontinence

José María Remes-Troche, Satish Sanku Chander Rao

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Fecal incontinence (FI), defined as the recurrent uncontrolled passage of fecal material due to the inability to control bowel discharge is a common and devastating condition. According to previous studies, at least 1 in 10 adult women have FI. This disorder poses a significant economic burden and has a negative impact on patient's lifestyle, leads to a loss of self-confidence, social isolation and a diminished quality of life. Three subgroups of FI are recognized: a) passive incontinence: the involuntary discharge of stool or gas without awareness; b) urge incontinence: the discharge of fecal matter in spite of active attempts to retain bowel contents, and c) fecal seepage: the involuntary leakage of small volumes of stool after normal evacuation. Disruption of the normal structure or function of the anorectal unit leads to FI and is often due to multiple mechanisms. A detailed history and examination including digital rectal examination facilitates diagnosis. Anorectal physiological tests provide useful information regarding functional abnormalities and anal endosonography regarding sphincter defects. These tests provide insights regarding pathophysiology and can guide further management. Behavioral therapy is successful in most patients and should be offered first. Surgical treatment should be considered in cases who fail medical treatment or with sphincter defects. Several experimental approaches, including bulking of the anal sphincter, sacral nerve stimulation and the delivery of radiofrequency energy to the anal canal are under investigation.

Original languageSpanish
Pages (from-to)496-507
Number of pages12
JournalRevista de gastroenterología de México
Volume71
Issue number4
StatePublished - Jan 1 2006
Externally publishedYes

Fingerprint

Fecal Incontinence
Anal Canal
Urge Urinary Incontinence
Digital Rectal Examination
Social Isolation
Endosonography
Therapeutics
Life Style
Gases
History
Economics
Quality of Life

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Novedades en la fisiopatología. Diagnóstico y tratamiento de la incontinencia fecal. / Remes-Troche, José María; Rao, Satish Sanku Chander.

In: Revista de gastroenterología de México, Vol. 71, No. 4, 01.01.2006, p. 496-507.

Research output: Contribution to journalReview article

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