Anal incontinence
Anal incontinence is a life restricting condition that is sometimes challenging to treat. There is an equal gender prevalence, however women are more likely to present particularly early in life, as a result of obstetric injury. This is still one of the leading causes of anal incontinence and sphinc...
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| Veröffentlicht in: | Baillière's best practice & research. Clinical gastroenterology 2009-08, Vol.23 (4), p.505-515 |
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| container_title | Baillière's best practice & research. Clinical gastroenterology |
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| creator | Bartolo, David C.C., MS, FRCS, FRCSE Paterson, Hugh M., MD, FRCSE |
| description | Anal incontinence is a life restricting condition that is sometimes challenging to treat. There is an equal gender prevalence, however women are more likely to present particularly early in life, as a result of obstetric injury. This is still one of the leading causes of anal incontinence and sphincter tears can be missed at the time of delivery. As a result, there is a heightened awareness for sphincter injury based on risk assessment, digital rectal examination and an endo-anal ultrasound. Surgical repair is still invaluable in the presence of disruption and salvage procedures for severe refractory incontinence such as the dynamic gracilloplasty and the artificial bowel sphincter continue to be perfected. Mini invasive procedures such as rectal irrigation and sacral neuromodulaton have had a successful outcome and we have had to depend less on the more invasive treatments. Above all there is a growing need to protect not only the baby but also the pelvic floor and anal sphincter from traumatic deliveries, through early risk assessment and research. |
| doi_str_mv | 10.1016/j.bpg.2009.06.001 |
| format | Article |
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There is an equal gender prevalence, however women are more likely to present particularly early in life, as a result of obstetric injury. This is still one of the leading causes of anal incontinence and sphincter tears can be missed at the time of delivery. As a result, there is a heightened awareness for sphincter injury based on risk assessment, digital rectal examination and an endo-anal ultrasound. Surgical repair is still invaluable in the presence of disruption and salvage procedures for severe refractory incontinence such as the dynamic gracilloplasty and the artificial bowel sphincter continue to be perfected. Mini invasive procedures such as rectal irrigation and sacral neuromodulaton have had a successful outcome and we have had to depend less on the more invasive treatments. 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Clinical gastroenterology</title><addtitle>Best Pract Res Clin Gastroenterol</addtitle><description>Anal incontinence is a life restricting condition that is sometimes challenging to treat. There is an equal gender prevalence, however women are more likely to present particularly early in life, as a result of obstetric injury. This is still one of the leading causes of anal incontinence and sphincter tears can be missed at the time of delivery. As a result, there is a heightened awareness for sphincter injury based on risk assessment, digital rectal examination and an endo-anal ultrasound. Surgical repair is still invaluable in the presence of disruption and salvage procedures for severe refractory incontinence such as the dynamic gracilloplasty and the artificial bowel sphincter continue to be perfected. Mini invasive procedures such as rectal irrigation and sacral neuromodulaton have had a successful outcome and we have had to depend less on the more invasive treatments. Above all there is a growing need to protect not only the baby but also the pelvic floor and anal sphincter from traumatic deliveries, through early risk assessment and research.</description><subject>Anal Canal - physiopathology</subject><subject>Anal Canal - surgery</subject><subject>artificial bowel sphincter</subject><subject>Childbirth & labor</subject><subject>Digestive System Surgical Procedures</subject><subject>Digital Rectal Examination</subject><subject>dynamic graciloplasty</subject><subject>Endosonography</subject><subject>Fecal Incontinence - diagnosis</subject><subject>Fecal Incontinence - etiology</subject><subject>Fecal Incontinence - physiopathology</subject><subject>Fecal Incontinence - surgery</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Humans</subject><subject>Irrigation</subject><subject>Male</subject><subject>malone antegrade continent enema</subject><subject>Medical disorders</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>obstetric injury</subject><subject>Ostomy</subject><subject>Personal relationships</subject><subject>Predictive Value of Tests</subject><subject>rectal irrigation</subject><subject>Risk Factors</subject><subject>sacral neuromodulation</subject><subject>Therapeutic Irrigation</subject><subject>Treatment Outcome</subject><issn>1521-6918</issn><issn>1532-1916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1LwzAchoMobk4PHr2IIHhrzVfTBEEYwy8YeFDPIU1_ldSunUkr7L83ZYOBB0_J4XlfkudF6ILglGAibuu0WH-mFGOVYpFiTA7QlGSMJkQRcTjeKUmEInKCTkKocSSEUsdoQpTguZBiis7nrWmuXGu7tncttBZO0VFlmgBnu3OGPh4f3hfPyfL16WUxXyaWM94nFBuZ5VDSklaGEQZSEkMLk6uCK2UtlpUorABrQFS8FBVYQkUlCK4ybiRmM3Sz7V377nuA0OuVCxaaxrTQDUGLPON5xmQEr_-AdTf4-OygCWY054rxkSJbyvouBA-VXnu3Mn4TIT3a0rWOtvRoS2Oho4uYudw1D8UKyn1ipycCd1sAoogfB14H60ZJpfNge1127t_6-z9p27jWWdN8wQbC_hc6UI312zjXuBZWcSnJM_YLpIyMjg</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Bartolo, David C.C., MS, FRCS, FRCSE</creator><creator>Paterson, Hugh M., MD, FRCSE</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Anal incontinence</title><author>Bartolo, David C.C., MS, FRCS, FRCSE ; Paterson, Hugh M., MD, FRCSE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-20a857ed2d2fa313e881a2ba79b499cc08f6bc6ecae6f4d6fec126f610f54a803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anal Canal - physiopathology</topic><topic>Anal Canal - surgery</topic><topic>artificial bowel sphincter</topic><topic>Childbirth & labor</topic><topic>Digestive System Surgical Procedures</topic><topic>Digital Rectal Examination</topic><topic>dynamic graciloplasty</topic><topic>Endosonography</topic><topic>Fecal Incontinence - diagnosis</topic><topic>Fecal Incontinence - etiology</topic><topic>Fecal Incontinence - physiopathology</topic><topic>Fecal Incontinence - surgery</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Humans</topic><topic>Irrigation</topic><topic>Male</topic><topic>malone antegrade continent enema</topic><topic>Medical disorders</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>obstetric injury</topic><topic>Ostomy</topic><topic>Personal relationships</topic><topic>Predictive Value of Tests</topic><topic>rectal irrigation</topic><topic>Risk Factors</topic><topic>sacral neuromodulation</topic><topic>Therapeutic Irrigation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bartolo, David C.C., MS, FRCS, FRCSE</creatorcontrib><creatorcontrib>Paterson, Hugh M., MD, FRCSE</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Baillière's best practice & research. 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| identifier | ISSN: 1521-6918 |
| ispartof | Baillière's best practice & research. Clinical gastroenterology, 2009-08, Vol.23 (4), p.505-515 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Freedom Collection (Elsevier) |
| subjects | Anal Canal - physiopathology Anal Canal - surgery artificial bowel sphincter Childbirth & labor Digestive System Surgical Procedures Digital Rectal Examination dynamic graciloplasty Endosonography Fecal Incontinence - diagnosis Fecal Incontinence - etiology Fecal Incontinence - physiopathology Fecal Incontinence - surgery Female Gastroenterology and Hepatology Humans Irrigation Male malone antegrade continent enema Medical disorders Minimally Invasive Surgical Procedures obstetric injury Ostomy Personal relationships Predictive Value of Tests rectal irrigation Risk Factors sacral neuromodulation Therapeutic Irrigation Treatment Outcome |
| title | Anal incontinence |
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