Placement of Artificial Bowel Sphincters in the Management of Faecal Incontinence
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Relapsing faecal incontinence in the elderly: a no man’s land
Background Post-obstetric neuropathic faecal incontinence is a complex disorder of impaired motor function involving the sphincters and pelvic floor, often associated with impaired rectal evacuation and anorectal anaesthesia [1]. Direct trauma to the anal sphincter complex can give immediate problems or problems later in life. The initial therapy should be conservative. Patients with anatomic s...
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Two siblings with myotonic dystrophy presented for treatment of faecal incontinence. The pathophysiology of this functional disorder is described with the results of anorectal manometry, EMG, and biopsy of smooth and striated muscle of the anorectal sphincters. Both medical and surgical management of the incontinence was unsatisfactory in the long term. Involvement of gastrointestinal musculatu...
متن کاملArtificial bowel sphincters for severe fecal incontinence. Are they a solution?
Fecal incontinence is a debilitating and common problem with a profound effect on a patient's well being medically, socially, and economically. Non-operative management of this condition includes dietary modification, antidiarrheal medications, and biofeedback. Patients with severe incontinence can be divided into 2 categories. The first group includes patients with an identifiable and isolated...
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Aim. To evaluate the efficacy of the Peristeen (Ⓒ) transanal irrigation system when treating faecal incontinence in children due to chronic idiopathic constipation. Methods. A retrospective study was conducted of the first cohort of patients affected with faecal incontinence and referred to our centre for Peristeen (Ⓒ) transanal irrigation treatment between January 2010 and December 2012. Patie...
متن کاملResults of Parks operation for faecal incontinence after anal sphincter injury.
Parks operation for faecal incontinence was performed on 97 patients with total loss of anorectal control due to injury. All had sustained complete division of the anal sphincters as a result of trauma, anal surgery, or obstetric tears and either were incontinent or had been given a colostomy. In all patients the divided sphincters were repaired using an overlapping technique; in 93 the repair ...
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