Fecal incontinence is defined as the passage of stools in an inappropriate place. This frustrating symptom is a source of considerable distress and embarrassment for the child and his/her family. Pediatric fecal incontinence can be divided into 2 main categories: (1) organic fecal incontinence, e.g., resulting from anorectal malformations or neurogenic abnormalities, and (2) functional fecal in...

TO THE EDITOR: I would like to thank Dr. Lee for his thoughtful comments on the impact of constipation on fecal incontinence. The coexistence of fecal incontinence and constipation has been well characterized in children and the geriatric population. Fecal incontinence in children is secondary to ‘overflow’ which results from the presence of constipation. Also fecal incontinence occurs in a var...

Sacral nerve stimulation (SNS) is an effective treatment for bladder and bowel dysfunction, and also has a role in the treatment of chronic pelvic pain. We report two cases of intractable pain associated with cauda equina syndrome (CES) that were treated successfully by SNS. The first patient suffered from intractable pelvic pain with urinary incontinence and fecal incontinence after surgery fo...

fecal incontinence is a challenging condition in that it exerts various psychosocial impacts on daily life. different treatment modalities have been suggested for fecal incontinence. the present study aimed to evaluate the efficacy of biofeedback therapy in combination with surgery in the management of fecal incontinence. the present randomized controlled trial was performed on 27 women with a ...

Sacral neuromodulation (SNM) is an effective and increasingly used therapeutic option for various conditions such as symptoms of urgency-frequency, refractory urinary urge incontinence, pelvic pain syndrome and fecal incontinence, urinary retention and constipation. The S3 nerve is usually stimulated unilaterally with a standard frequency of 14Hz and an ideal voltage for motoric response below ...

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 ...

Fecal incontinence (FI), which can severely affect a person's quality of life, is a difficult problem to treat. For some patients, limited management options exist. Sacral nerve stimulation, also known as sacral neuromodulation, although long established for urinary incontinence, has gained acceptance in treating FI. One unique aspect is that the procedure is performed in two stages. During the...

Fecal incontinence is one of the most emotionally devastating of all nonfatal conditions. Many patients do not respond satisfactorily to conservative measures, and there is a need for new and effective strategies when medical therapy fails. The development of sacral nerve stimulation and other forms of neuromodulation and the injection of biologically compatible substances into the anal sphinct...