Diarrhea and fecal incontinence are common in critically ill patients and present a challenging problem in patient management. The Flexi-Seal® Fecal Management System is a device to divert the stools away from the patient, thus improving the care to patients with fecal incontinence. There have been only few case reports describing the complications with the use of this device. Here, we present ...

OBJECTIVE To review the management of fecal incontinence, which affects more than 1 in 10 people and can have a substantial negative impact on quality of life. METHODS The medical literature between 1980 and April 2012 was reviewed for the evaluation and management of fecal incontinence. RESULTS A comprehensive history and physical examination are required to help understand the severity an...

UNLABELLED 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 wo...

INTRODUCTION More than 80% of patients with full-thickness rectal prolapse have co-existing fecal incontinence. Choosing the ideal surgical strategy is always a difficult task. We combined an Altemeier rectosigmoid resection with anal dynamic graciloplasty to provide a functional neosphincter. We found no published reports describing this surgical association. CASE PRESENTATION We report the ...

BACKGROUND Fecal incontinence is frequently associated with rectal prolapse, but little is known about recovery after treatment of the prolapse. OBJECTIVE We therefore aimed to investigate the long-term outcome of fecal incontinence in a cohort of patients suffering from full-thickness rectal prolapse. DESIGN A database of 145 patients diagnosed with full-thickness rectal prolapse was compi...

purpose : longitudinal follow-up of bowel function in children with anorectal malformations (arms)) as they grow, to determine the anorectal function problems and help to resolve them somedeal. material and methods : this study included 262 patients with arm that operated in our center between 2006 until 2013.patients that definitive reconstruction was performed in another center and underwent ...

BACKGROUND Unilateral posterior tibial nerve stimulation has been shown to improve fecal incontinence in the short term. Posterior tibial nerve stimulation is believed to work by stimulation of the ascending afferent spinal pathways. Bilateral stimulation may activate more of these pathways. This may lead to an improved therapeutic effect. OBJECTIVE The aim of this study was to assess the eff...

PURPOSE Persistent or newly-diagnosed fecal incontinence following surgical repair of rectal prolapse has been reported in up to 30% of all treated patients. This study tried to evaluate the role of sacral nerve modulation as a potential treatment for this problem. PATIENTS AND METHODS The medical records of 11 patients (all female; median age, 59 years) in 2 coloproctology centers were retro...

Patients with major fecal incontinence often do not benefit from medical treatment or biofeedback and thus are proposed for surgery. Different surgical options are available, the choice of which depends on the type of incontinence, the severity of symptoms, and the compliance of the patient. The efficacy of surgery still remains difficult to assess, but it is quite evident that none of the oper...

OBJECTIVE To detect the main factors associated with the occurrence of specific geriatric syndromes (namely pressure sores, fecal incontinence, urinary incontinence and falls) in elderly patients during hospitalization. DESIGN Observational prospective study. SETTING Eighty-one community and university hospitals throughout Italy. PARTICIPANTS 13,729 patients aged 65 years and more, consec...