BACKGROUND Fecal incontinence affects up to 11% of Australian community-dwelling adults and 72% of nursing home residents. Biofeedback is a recommended conservative therapy when medication and pelvic floor exercises have failed to improve patient outcomes. OBJECTIVE This study aimed to investigate the impact of a new exercise regimen on the severity of fecal incontinence and the quality of li...

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 Management of fecal incontinence is a priority in acute and critical care to reduce risk of perineal dermatitis and transmission of nosocomial infections. OBJECTIVE To evaluate the safety of the Flexi-Seal Fecal Management System in hospitalized patients with diarrhea and incontinence. METHODS A prospective, single-arm clinical study with 42 patients from 7 hospitals in the Unite...

AIM To investigate the nature and severity of AE related to sacral neurostimulation (SNS). METHODS Based on Pubmed and Embase searches, we identified published trials and case series of SNS for fecal incontinence (FI) and extracted data on adverse events, requiring an active intervention. Those problems were operationally defined as infection, device removal explant or need for lead and/or ge...

AIM Aim of this study is to evaluate the presence of fecal incontince and its impact on life-quality after intersphincteric resection for low rectal cancer. MATERIAL AND METHODS Twentyeight patients (18 males and 10 female) underwent intersphincteric resection for low rectal cancer between 2006 and 2008. The presence of fecal incontinence was evaluated by Wexner score pre-operatory and 3, 6 a...

Hypothesis / aims of study Several scoring systems have been designed to quantify and objectively assess anal incontinence in symptomatic patients. The St. Mark’s grading system for fecal incontinence has shown the highest correlation with the physician’s clinical impression when compared to three other grading systems (1). The main focus of continence grading systems is on physical aspects, bu...