Nonoperative Medical Management of Fecal Incontinence
Medical management of fecal incontinence is focused on altering stool consistency, stool volume, intestinal transit time, and patterns of defecation. It is the primary approach for patients without surgically correctable defects and is a useful adjunct when combined with surgery or biofeedback. The clinical spectrum of fecal incontinence is broad, and usually a combined approach including dietary manipulation, medication, and bowel management is necessary. Although complete resolution of symptoms is not always possible, most patients are improved, enhancing their sense of well-being and quality of life.
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Buie WD. Nonoperative Medical Management of Fecal Incontinence. Seminars in Colon and Rectal Surgery. 8:73-79, 1997
Population based functional and quality of life questionnaires have revealed that varying degrees of fecal incontinence are much more common than previously believed. While there have been an increasing number of operations described for anal incontinence, the most common therapeutic approach is through a combination of diet, medications and exercises without surgery. This article provides a comprehensive review of nonoperative treatment of this common disease.
PII: S1043-1489(06)00119-9
doi:10.1053/j.scrs.2006.12.012
© 2007 Elsevier Inc. All rights reserved.
