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Surgical Therapy for Fecal Incontinence

  • Kelly A. GarrettEmail author
Chapter

Abstract

Fecal incontinence is a common condition that is frequently underreported. Although the most common causative factor is obstetric injury, the origin can frequently be multifactorial. A thorough history and physical examination is necessary to determine the source of the problem. Physiologic and radiologic tests may be added to assist in diagnosis and also in directing treatment. First line treatment consists of medical management and in some cases physical therapy. If this fails then surgical intervention is considered. Surgery consists of overlapping sphincteroplasty, the injection of bulking agents, and sacral nerve stimulation and less frequently anal encirclement procedures, radiofrequency ablation, artificial bowel sphincter, and muscle transposition. A diverting stoma may be considered as a last resort.

Keywords

Pelvic Floor Fecal Incontinence Anal Sphincter Anal Canal Rectal Prolapse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of General Surgery, Division of Colon and Rectal SurgeryWeill Cornell Medical College/New York Presbyterian HospitalNew YorkUSA

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