Rectal prolapse associated with traumatic fecal incontinence is a rare clinical combination. This study was designed to assess Delorme's operation with sphincteroplasty as a surgical management of this combination in terms of recurrence and improvement of fecal incontinence. In this prospective study, we enrolled patients suffering from short, full-thickness rectal prolapse associated with trau...

background and objective: given the widespread use of paraffin in the treatment of constipation in chil-dren and the possibility of long duration of drug use and the risk of drug leakage, the risk of urinary infection in these patients is considerable. the aim of this study was to determine the association between leakage of paraf-fin and the presence or exacerbation of the urinary infection an...

OBJECTIVE To provide health care providers, patients, and the general public with a responsible assessment of currently available data on prevention of fecal and urinary incontinence in adults. PARTICIPANTS A non-DHHS, nonadvocate 15-member panel representing the fields of geriatrics, nursing, gastroenterology, obstetrics and gynecology, internal medicine, urology, general surgery, oncology, ...

Medical Therapy: 1. Dry Fiber: take dry Metamucil or Citrucel, 2 tablets twice a day, and increasing up to 2 tablets four times per day. 2. Antidiarrheal Agents: even if you do not have diarrhea, you need to add these agents to the dry fiber. Options include kaopectate, Immodium, Lomotil (prescribed) or Tincture of Opium (prescribed). Take immodium 1 tablet twice a day, and increase up to 2 tab...

A 74-year old woman with a medical history of hypertension, diabetes, and urinary incontinence comes for an annual exam. She feels well, has no physical complaints, and has been healthy since her last visit. She reports her urinary incontinence has improved, but mentions that she sometimes has “accidents” with stool. Her obstetrical history is significant for 3 vaginal deliveries, one with a 3 ...

Risk Factor or Consequence of Poor Outcomes After Rehabilitation? To the Editor: We have read with interest the study written by Harari et al1 regarding the evolution of patients suffering from new-onset fecal incontinence after stroke. These authors observe the long-term fluctuating nature of such condition, the negative impact on mortality and institutionalization, as well as its narrow relat...

CONTEXT Although success rates are limited, anal sphincteroplasty is commonly used to treat women with fecal incontinence. OBJECTIVES To investigate the long-term efficacy of a novel surgical procedure-sphincteroplasty with perineal reconstruction-for the management of fecal incontinence. METHODS The current prospective study comprised women presenting to the Division of Urogynecology and R...

Objective: There are few previously published studies of feeding problems and/or gastrointestinal dysfunction among children with Asperger syndrome (AS) or Pervasive Developmental Disorder (PDD-NOS), compared to sibling controls. Study Design: On-line parent autism groups 90% from North America. Statistical analysis: Chi square and binomial logistic regression statistical analysis Results: Comp...

PURPOSE The aim of this study was to characterize differences in health-related quality of life among women presenting for treatment of fecal incontinence. METHODS Among 155 women presenting for treatment of fecal incontinence in a specialty clinic, validated questionnaires measured impact on quality of life (Modified Manchester Health Questionnaire) and severity (the Fecal Incontinence Sever...

Background: Constipation is one of the most common complaints in children. Guidelines on functional constipation recommend digital rectal examination (DRE) when suspected. However, diagnosis megarectum by ultrasonography would differentiate children with from those dysfunctional defecation. Objectives: In this research, we evaluated utilization to measure diameter ampulla for constipation. Meth...