Affiliation:
1. Physiology Unit, University College Hospital, 235 Euston Road, London NW1 2BU, UK
Abstract
Abstract
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.
Publisher
Oxford University Press (OUP)
Cited by
65 articles.
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