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Clin Colon Rectal Surg 2007; 20(2): 118-124
DOI: 10.1055/s-2007-977490
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Fecal Incontinence

Tracy Hull1
  • 1Department of Colon and Rectal Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio
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Publication History

Publication Date:
09 May 2007 (online)

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ABSTRACT

Fecal incontinence is a devastating problem for those afflicted. It can lead to embarrassment and social isolation. Treating the problem begins with a thorough history and physical examination. Further testing (such as anal physiology testing or anal endosonography) depends on the examination and treatment plan. Conservative medical therapies (such as dietary manipulation, medication to slow the stool, and biofeedback) are usually tried first. Surgery includes sphincter repair, SECCA, artificial bowel sphincter, and stoma. New therapies continue to evolve with the intention of further improving quality of life for these afflicted patients.

KEYWORDS

Fecal incontinence - sphincteroplasty - artificial bowel sphincter - SECCA - anal physiology

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Tracy HullM.D. 

Department of Colon and Rectal Surgery, The Cleveland Clinic Foundation

9500 Euclid Ave., Desk A-30, Cleveland, OH 44195

Email: Hullt@ccf.org