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Sacral Neuromodulation for Fecal Incontinence

  • Dadrie Baptiste
  • Jason Shellnut
Chapter

Abstract

Fecal incontinence is an underappreciated source of personal and social debilitation for many individuals. Successful management of fecal incontinence requires not only an in-depth knowledge of pelvic floor anatomy, but also the various medical and surgical options. Medical management should be the initial focus of treatment for patients who present with fecal incontinence. For patients who fail medical management there are a variety of surgical options available to treat fecal incontinence. Selection of the optimal surgical option remains case specific and should be tailored to the individual patient. Sacral neuromodulation is one of the most effective surgical options for fecal incontinence and has a relatively low complication rate.

Keywords

Sphincter injury Internal pudendal nerve Fecal incontinence scoring Pudendal Nerve motor terminal latency Endoanal ultrasound Defecating proctogram Dietary modification Kegel exercises Biofeedback therapy Adynamic/dynamic graciloplasty Artificial bowel sphincter Injectables Overlapping sphincteroplasty Sacral neuromodulation SECCA® Diverting colostomy 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryBeaumont HealthRoyal OakUSA
  2. 2.Colon and Rectal SurgeryWilliam Beaumont HospitalRoyal OakUSA

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