BACKGROUND Multiple treatments exist for fecal incontinence. However, the relative and additive influence of commonly used behavioral approaches remains unclear. OBJECTIVE We conducted a systematic review of randomized controlled trials to synthesize the effects of behavioral treatment of fecal incontinence with constipation in children aged 4-18 years. Mixed treatment comparisons (MTCs) and ...

BACKGROUND/AIMS We aimed to evaluate postoperative fecal incontinence scales of children who underwent laparoscopic proctocolectomy and ileal J-pouch anastomosis for familial adenomateous polyposis (FAP) and inflammatory bowel disease (IBD). MATERIALS AND METHODS Fecal incontinence scores were collected at 3 months post-surgery. A retrospective chart review was also performed to obtain the de...

PURPOSE Clinical studies have demonstrated that stapled transanal rectal resection with Contour Transtar (Transtar procedure) is a safe and effective treatment for patients with obstructive defecation syndrome. The aim of this study was to determine functional outcome and quality of life after the procedure. METHODS Female patients with obstructive defecation syndrome were enrolled prospectiv...

INTRODUCTION Attention-deficit/hyperactivity disorder (ADHD) and incontinence (nocturnal enuresis, daytime urinary incontinence and fecal incontinence) are common disorders in childhood. Both disorders are strongly associated with each other. OBJECTIVE ADHD can affect compliance to incontinence therapy in a negative way; it can also affect outcome. The aim of the present study was to assess t...

OBJECTIVE This study was undertaken to evaluate the response to sacral neuromodulation in women with refractory, nonobstructive urinary urge incontinence after stress incontinence surgery. STUDY DESIGN We reviewed the medical records of women in whom sacral neuromodulation was performed for worsening or de novo urinary urge incontinence after a stress incontinence procedure. All patients had ...

hemorrhoidectomy is the treatment of choice for patients with third or fourth-degree hemorrhoids. although the majority of surgeons believe that surgical hemorrhoidectomy is the most effective approach with excellent results in the management of hemorrhoid disease, but hemorrhoidectomy is not a simple procedure. one of the complications of this surgery is an injury to anal sphincters that can l...

Introduction: We compared the frequency and duration of specific mealtime behaviors and GI dysfunction in children with classic autism to typically-developing siblings. Survey Method: A 41-item on-line parent survey. Statistics: Chi square and binomial logistical regression. Results: 79 children with classic autism matched with a normally-developing sibling. Logistic Regression Analysis Reveale...

OBJECTIVE It has been suggested that the addition of behavioral interventions to laxative therapy improves continence in children with functional fecal incontinence associated with constipation. Our aim was to evaluate the clinical effectiveness of behavioral therapy with laxatives compared with conventional treatment in treating functional constipation in childhood. PATIENTS AND METHODS In t...

TO THE EDITOR: I read the report by Kang et al regarding “prevalence and predictive factors of fecal incontinence.” In this study, most of fecal incontinence was mild form and related with water or loose stool consistency. The result was consistent with report by Bharucha et al. I believe that bowel disturbance (ie, diarrhea and irritable bowel syndrome) is the most common cause of fecal incont...