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Bharucha AE. Management of fecal incontinence. Gastroenterol Hepatol (N Y). 2008;4(11):807-17
Bharucha, A. E. (2008). Management of fecal incontinence. Gastroenterology & hepatology, 4(11), 807-17.
Bharucha, Adil E. "Management of fecal incontinence." Gastroenterology & hepatology vol. 4,11 (2008): 807-17.
Bharucha AE. Management of fecal incontinence. Gastroenterol Hepatol (N Y). 2008 Nov;4(11):807-17. PMID: 21960903; PMCID: PMC3104390.
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Gastroenterol Hepatol (N Y). 2008 Nov;4(11):807-17.

Management of fecal incontinence.

Gastroenterology & hepatology

Adil E Bharucha

Affiliations

  1. Dr. Bharucha serves as Professor of Medicine at the Clinical Enteric Neuroscience Translational and Epidemiological Research Program in the Division of Gastroenterology and Hepatology at the Mayo Clinic in Rochester, Minnesota.

PMID: 21960903 PMCID: PMC3104390

Abstract

Fecal incontinence is a common condition that often impairs quality of life. It is generally caused by a variety of conditions that are associated with anorectal sensorimotor dysfunction and/or diarrhea. A detailed characterization of symptoms, particularly bowel habits, is useful for assessing symptom severity and guiding management. A careful digital rectal examination is invaluable for gauging anal resting and squeeze pressures and anorectal evacuation. Tests should be tailored to age, symptom severity, and response to previous therapy. Anorectal manometry and sphincter imaging are useful starting tests. Depending upon the clinical circumstances, additional testing and therapeutic options may be useful. Fecal continence can be improved by measures to regulate bowel habits and pelvic floor retraining. Surgical repair of anal sphincter defects improves fecal continence in the short but not in the long term. Newer surgical therapies and devices are of limited and/or unproven utility.

Keywords: Fecal incontinence; anal incontinence; diagnosis; management

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