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  • Open Access
  • © 2023

Anal Incontinence

Clinical Management and Surgical Techniques

  • Explains Anatomy and Mechanism of Anal Continence

  • Enables readers to gain an overview of diagnostic, treatment and rehabilitation

  • This book is open access, which means that everyone has free and unlimited access

  • Updates readers involved in surgery with accessible descriptions of Clinical evaluation & classification of incontinence

Part of the book series: Updates in Surgery (UPDATESSURG)

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Table of contents (24 chapters)

  1. Front Matter

    Pages i-xi
  2. Overview

    1. Front Matter

      Pages 1-1
    2. History of Anal Incontinence and its Treatments

      • Corrado Rispoli, Gennaro Rispoli
      Pages 3-8Open Access
    3. Epidemiology, Anorectal Anatomy, Physiology and Pathophysiology of Continence

      • Gaetano Gallo, Alberto Realis Luc, Mario Trompetto
      Pages 9-17Open Access
  3. Diagnosis

    1. Front Matter

      Pages 19-19
    2. Neurofunctional Diagnosis and Anorectal Manometry

      • Filippo Pucciani
      Pages 29-36Open Access
    3. Role of Ultrasonography for Anal Incontinence

      • Giulio A. Santoro, Patrizia Pelizzo, Ugo Grossi, Rita Cian, Giacomo Zanus, Luigi Brusciano
      Pages 37-47Open Access
    4. Cross-Sectional Imaging in Fecal Incontinence

      • Alfonso Reginelli, Mariateresa Del Canto, Valentina Caliendo, Silvia Iovine, Ferdinando Schettino, Fabrizio Urraro et al.
      Pages 49-59Open Access
  4. Treatment

    1. Front Matter

      Pages 61-61
    2. Medical Management and Supportive/Hygienic Measures

      • Roberto Dino Villani, Daniela Di Nicola
      Pages 63-68Open Access
    3. Diet in Fecal Incontinence

      • Marcellino Monda
      Pages 69-75Open Access
    4. Role of Pelvic Floor Rehabilitation: Patient Selection and Treatment

      • Ludovico Docimo, Giorgia Gualtieri, Claudio Gambardella, Luigi Brusciano
      Pages 77-84Open Access
    5. Sacral and Percutaneous Tibial Nerve Stimulation, Stem Cell Therapy, and Transanal Irrigation Device

      • Gabriele Naldini, Alessandro Sturiale, Claudia Menconi, Bernardina Fabiani, Rebecca Aglietti, Lisa Fralleone et al.
      Pages 85-92Open Access
    6. Sphincter Reconstruction: Dynamic Myoplasty, Artificial Bowel Sphincter, Antegrade Colonic Enemas and Colostomy

      • Francesco Selvaggi, Giacomo Fuschillo, Lucio Selvaggi, Vinicio Mosca, Guido Sciaudone
      Pages 93-101Open Access
    7. Surgical Reconstruction of Traumatic Perineal and Sphincter Muscle Defects

      • Bruno Roche, Frédéric Ris
      Pages 103-114Open Access
    8. Implantation of Self-Expandable Solid Prostheses for Anal Incontinence

      • Ludovico Docimo, Giorgia Gualtieri, Claudio Gambardella, Luigi Brusciano
      Pages 123-129Open Access
    9. When Everything Fails: Prevention and Therapy of Treatment Failures

      • Donato F. Altomare, Arcangelo Picciariello, Michele De Fazio, Marcella Rinaldi
      Pages 131-138Open Access
  5. Special Considerations and Multidisciplinary Perspectives

    1. Front Matter

      Pages 139-139

About this book

This open access  book describes the latest advances in the anal incontinence diagnostic and therapeutic processes.  Anal incontinence is a devastating condition heavily impacting on the patients’ lives. Those suffering from this disorder are generally very embarrassed and reluctant to undergo an appropriate clinical evaluation, thus becoming more isolated and worsening the quality of their life. Luckily, nowadays a wide range of treatments is available to improve this oppressive condition; however, the recognition of the related pathophysiological alterations is mandatory to grant its successful management. 

This volume will help the surgeons community to keep abreast of developments in diagnostics and treatment of this  impairing condition. and will  provide all health professionals with the appropriate tools to face this impairing condition.


  • Continence mechanism
  • Fecal incontinence
  • Pelviperineal disorders
  • Anal sphincter
  • Continence Surgery
  • Open Access

Editors and Affiliations

  • Division of General, Mini-invasive Oncological, and Bariatric Surgery, University of Campania Luigi Vanvitelli, Naples, Italy

    Ludovico Docimo, Luigi Brusciano

About the editors

Prof. Ludovico Docimo graduated in Medicine at the University of Naples Federico II, where he also specialized in General Surgery. He spent training periods at St. Mark’s Hospital for Diseases of the Colon, Rectum and Anus in London, at the Centre Hospitalier Général in Toulon, at the Harvard University-Massachusetts General Hospital in Boston, and at the Jefferson University of Philadelphia. In 2002 he became full professor of General Surgery at the Second University of Naples, now renamed University of Campania L. Vanvitelli. As for his academic roles, he is the Director of the Chair of General Surgery, of the Division of General, Minimally Invasive, Oncologic and Obesity Surgery of the Department of General and Specialty Surgery and of the University Master’s Degree in Colon Proctology and Rehabilitation of the Pelvic Floor. He is the author of over 200 scientific papers with an H-index of 23 and over 1300 citations. He is a member of the editorial board of Aggiornamenti in Chirurgia and of Annali Italiani di Chirurgia. President of the Collegio dei Professori Ordinari e Straordinari di Chirurgia Generale, of the Società Italiana dei Chirurghi Universitari, of the Società Napoletana di Chirurgia, and of the Società Italiana di Fisiopatologia Chirurgica, Prof. Docimo has been advisor to the Ministry of Health for Training Events in Surgery. He has performed more than 20,000 operations in general, bariatric, colorectal and abdominal wall surgery.


Prof. Luigi Brusciano graduated in Medicine and specialized in General Surgery, Digestive Surgery and Gestrointestinal Endoscopy. He gained his PhD in Research in Gastrointestinal Biotechnology at the Seconda Università di Napoli, now renamed University of Campania L. Vanvitelli. He worked at St Mark’s Hospital & Academic Institute, London, at the Colorectal Surgery Unit in Villa Flaminia, Roma, at Hôpitaux Universitaires de Genève, Département de Chirurgie, Unité de Proctologie, and at St Mary’s Hospital, Department of Surgical Oncology & Technology, Imperial College London. Associate Professor of General Surgery at the University of Campania L. Vanvitelli, he is the coordinator of the Center for Pelvic Floor Pathology at the Unit of General Surgery, Minimally Invasive, Bariatric and Oncological Surgery and the scientific coordinator of the 2nd-level Master’s in Coloproctology and 1st-level Master’s in Diagnostics and Rehabilitation of the Pelvic Floor at the same university. Prof. Brusciano is the author of over 150 scientific publications in national and international journals and of two monographs. He has performed over 1600 procedures in general, minimally invasive and laparoscopic, bariatric and coloproctological surgery. He acts as reviewer for many international journals. laparoscopic, Bariatric and Coloproctological surgery. He acts as reviewer of many international journals.

Bibliographic Information

  • Book Title: Anal Incontinence

  • Book Subtitle: Clinical Management and Surgical Techniques

  • Editors: Ludovico Docimo, Luigi Brusciano

  • Series Title: Updates in Surgery

  • DOI:

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s) 2023

  • License: CC BY-NC-ND

  • Softcover ISBN: 978-3-031-08391-4Published: 21 October 2022

  • eBook ISBN: 978-3-031-08392-1Published: 10 October 2022

  • Series ISSN: 2280-9848

  • Series E-ISSN: 2281-0854

  • Edition Number: 1

  • Number of Pages: XI, 211

  • Number of Illustrations: 10 b/w illustrations, 28 illustrations in colour

  • Topics: Surgery, Gastroenterology, Urology, Neurosciences, Physiology, Imaging / Radiology

Buy it now

Buying options

Softcover Book USD 49.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access