Τίτλος:
Anorectal incontinence: a challenge in diagnostic and therapeutic
approach
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Anorectal incontinence is a symptom of a complex multifactorial disorder
involving the pelvic floor and anorectum, which is a severe disability
and a major social problem. Various causes may affect the anatomical and
functional integrity of the pelvic floor and anorectum, leading to the
anorectal continence disorder and incontinence. The most common cause of
anorectal incontinence is injury of the sphincter muscles following
delivery or anorectal surgeries. Although the exact incidence of
anorectal incontinence is unknown, various studies suggest that it
affects approximate to 2.2-8.3% of adults, with a significant
prevalence in the elderly (>50%). The successful treatment of anorectal
incontinence depends on the accurate diagnosis of its cause. This can be
achieved by a thorough assessment of patients. The management of
incontinent patients involves conservative therapeutic procedures,
surgical techniques, and minimally invasive approaches. (C) 2013 Wolters
Kluwer Health vertical bar Lippincott Williams & Wilkins.
Συγγραφείς:
Andromanakos, Nikolaos P.
Filippou, Dimitrios K.
Pinis, Stamatis
I.
Kostakis, Alkiviadis I.
Περιοδικό:
European Journal of Gastroenterology and Hepatology
Εκδότης:
Lippincott, Williams & Wilkins
Λέξεις-κλειδιά:
anorectal incontinence; anal neosphincter; biofeedback; magnetic anal
sphincter; sacral nerve stimulation; sphincteroplasty; tibial nerve
stimulation
DOI:
10.1097/MEG.0b013e328361dcfd