Stuhlinkontinenz: Abklarung, Behandlungskonzept und neue Therapieansatze. [Fecal incontinence: evaluation, treatment concept and new therapeutic approaches]

Details

Serval ID
serval:BIB_8F9747FC130B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Stuhlinkontinenz: Abklarung, Behandlungskonzept und neue Therapieansatze. [Fecal incontinence: evaluation, treatment concept and new therapeutic approaches]
Journal
Schweizerische Rundschau fur Medizin Praxis
Author(s)
Steinke  W., Hetzer  F., Demartines  N.
ISSN
1013-2058 (Print)
Publication state
Published
Issued date
10/2002
Volume
91
Number
42
Pages
1733-40
Notes
English Abstract
Journal Article --- Old month value: Oct 16
Abstract
Faecal incontinence is more frequent than generally assumed. The pathophysiological ground for faecal incontinence are injuries as well as infraclinic post childbirth injuries. However, faecal incontinence is frequently ideopathic by women probably due to weakness of the pelvic floor muscles. Interdisciplinary diagnosis include endoluminal-sonography, sphincter-manometry and in selected cases MR video-defaecography. Results of surgical sphincter repair combined with anterior anal repair may be excellent in up to 70% of the cases, however long-term results may become disappointing. Dynamic gracilis plastic is today a recognized therapy as sphincter replacement. However, provided that the sphincter-muscles remain intact, permanent sacral nerve-stimulation is a very promising emerging therapy. The initial results are very encouraging with recovery from faecal incontinence in up to 70-80% of the treated cases.
Keywords
Anal Canal/physiopathology Defecography Diagnosis, Differential Endosonography Fecal Incontinence/*etiology/physiopathology/therapy Female Humans Magnetic Resonance Imaging Manometry Pelvic Floor/physiopathology Puerperal Disorders/etiology/physiopathology/therapy
Pubmed
Create date
28/01/2008 8:53
Last modification date
20/08/2019 14:53
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