OBJECTIVE To examine the effect of previous sexual abuse or assault (SAA) on symptom severity, quality of life, and physiologic measures in women with fecal incontinence or constipation. DESIGN A cross-sectional study of a prospectively maintained clinical database. SETTING A tertiary referral center for evaluation and physiologic testing for pelvic floor disorders. PATIENTS Women with fe...

PURPOSE The cost-effectiveness and budget impact of introducing sacral nerve modulation (SNM) as a treatment for fecal incontinence in Italy were evaluated in a simulation model. METHODS A decision-analysis model with a Markov submodel was used to represent clinical pathways for treatment of patients with fecal incontinence in a scenario with SNM and a scenario without SNM. Data were obtained...

BACKGROUND/AIMS To explore and compare quality of life (QoL) differences in female and male patients with fecal incontinence. METHODS Ninety-one patients with fecal incontinence (60 women, mean (SD) age 64.13 (9.72) years; 31 men, mean (SD) age 63.61 (13.33) years) were assessed for pathophysiology (anorectal manometry and ultrasound), clinical severity (Wexner and Vaizey scales), QoL (Fecal ...

OBJECTIVE To review evidence for the efficacy of biofeedback in the treatment of gastrointestinal problems. DATA SOURCES Studies were identified through a search of MEDLINE, HealthSTAR, EMBASE, Allied and Complementary Medicine, MANTIS, PsycINFO, Social Science Citation Index, Science Citation Index, and CINAHL. STUDY SELECTION Studies were selected if they used biofeedback as the intervent...

OBJECTIVES To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. METHODS Female with fecal incontinence and vaginal delivery were assessed with Wexner's score, manometry, and...

Purpose. The aim of the study is to compare functional results of end-stage fecal incontinence treatment with dynamic graciloplasty and adynamic graciloplasty augmented with transanal conditioning of the transposed muscle. Methods. A total of 20 patients were qualified for graciloplasty procedure due to end-stage fecal incontinence. 7 patients underwent dynamic graciloplasty (DGP), whereas 13 p...

PURPOSE Few studies have examined whether bioengineering can improve fecal incontinence. This study designed to determine whether injection of porous polycaprolactone beads containing autologous myoblasts improves sphincter function in a dog model of fecal incontinence. METHODS The anal sphincter of dogs was injured and the dogs were observed without and with (n = 5) the injection of porous p...

BACKGROUND It has been suggested that the effects of sacral nerve stimulation against fecal incontinence involve neuromodulation at spinal or supraspinal levels. OBJECTIVE This study aims to investigate the afferent sensory pathways from the anorectum before and during sacral nerve stimulation. DESIGN This is an explorative study. PATIENTS Fifteen women with idiopathic fecal incontinence ...