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Surgical Management of Fecal Incontinence

  • Chapter
Imaging Pelvic Floor Disorders

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Fecal incontinence is the inability to have control of gas or stool evacuation and inability to defer the act of defecation until a socially proper time and place. Intact musculature including the puborectalis and internal and external anal sphincters are prerequisites for fecal control, as is a functioning nerve supply to these muscles. Other factors contributing to fecal continence include stool consistency, rectal sensitivity and capacity, and an intact anorectal sampling reflex. Any impairment to one or more of these factors can result in fecal incontinence.

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References

  • Alexander S, Rowan D et al (1970) Treatment of urinary incontinence by electric pessary. A report of 18 patients. Br J Urol 42:184–190

    Article  CAS  PubMed  Google Scholar 

  • Altomare DF, Rinaldi M, Petrolino M et al (2004) Permanent sacral nerve stimulation for fecal incontinence and associated urinary incontinence. Int J Colorectal Dis 19:203–209

    Article  PubMed  Google Scholar 

  • Baeten CG, Konsten J et al (1991) Dynamic graciloplasty for treatment of faecal incontinence. Lancet 338:1163–1165

    Article  CAS  PubMed  Google Scholar 

  • Baeten CG, Geerdes BP et al (1995) Anal dynamic graciloplasty in the treatment of intractable fecal incontinence. N Engl J Med 332:1600–1605

    Article  CAS  PubMed  Google Scholar 

  • Baeten CG, Bailey HR et al (2000) Safety and efficacy of dynamic graciloplasty for fecal incontinence: report of a prospective, multicenter trial. Dynamic Graciloplasty Therapy Study Group. Dis Colon Rectum 43:743–751

    Article  CAS  PubMed  Google Scholar 

  • Bannister JJ, Gibbons C et al (1987) Preservation of faecal continence during rises in intra-abdominal pressure: is there a role for the flap valve? Gut 28:1242–1245

    Article  CAS  PubMed  Google Scholar 

  • Barisic GI, Krivokapic ZV, Makovic VA et al (2006) Outcome of overlapping sphincter anal sphincter repair after 3 months and after a mean of 80 month. Int J Colorectal Dis 21:52–56

    Article  PubMed  Google Scholar 

  • Briel JW, Stoker et al (1999) External anal sphincter atrophy on endoanal MRI adversally effects continence after sphincteroplasty. Br J Surg 86:1322–1327

    Article  CAS  PubMed  Google Scholar 

  • Bristom O (1944) Plastiches Erzatz des M. sphincter ani. Acta Chir Scand 90:431–448

    Google Scholar 

  • Browning GG, Parks AG (1983) Postanal repair for neuropathic faecal incontinence: correlation of clinical result and anal canal pressures. Br J Surg 70:101–104

    Article  CAS  PubMed  Google Scholar 

  • Caldwell KP, Cook PJ et al (1968) Stress incontinence in females: report on 31 cases treated by electrical implant. J Obstet Gynaecol Br Commonw 75:777–780

    CAS  PubMed  Google Scholar 

  • Casal E, San Ildefonso A, Carracedo R et al (2004) Artificial bowel sphincter in severe anal incontinence. Colorectal Dis 6:180–184

    Article  CAS  PubMed  Google Scholar 

  • Chapman AE, Geerdes B et al (2002) Systematic review of dynamic graciloplasty in the treatment of faecal incontinence. Br J Surg 89:138–153

    CAS  PubMed  Google Scholar 

  • Chen YL, Zhang XH (1987) Reconstruction of rectal sphincter by transposition of gluteus muscle for fecal incontinence. J Pediatr Surg 22:62–64

    Article  CAS  PubMed  Google Scholar 

  • Chetwood CH (1902) Plastic operation of the sphincter ani with report of a case. Med Rec 61:529

    Google Scholar 

  • Christiansen J, Hansen CR, Rasmussen O (1995) Bilateral gluteus maximus transposition for anal incontinence. Br J Surg 82:903–905

    Article  CAS  PubMed  Google Scholar 

  • Ctercteko GC, Fazio VW et al (1988) Anal sphincter repair: a report of 60 cases and review of the literature. Aust N Z J Surg 58:703–710

    Article  CAS  PubMed  Google Scholar 

  • Davis K, Kumar D et al (2003) Preliminary evaluation of an injectable anal sphincter bulking agent (Durasphere) in the management of faecal incontinence. Aliment Pharmacol Ther 18:237–243

    Article  CAS  PubMed  Google Scholar 

  • Dawkins GP, Harrison NW et al (1997) Radiofrequency heattreatment to the prostate for bladder outlet obstruction associated with benign prostatic hyperplasia: a 4-year outcome study. Br J Urol 79:910–914

    CAS  PubMed  Google Scholar 

  • Devesa JM, Vicente E et al (1992) Total fecal incontinence-a new method of gluteus maximus transposition: preliminary results and report of previous experience with similar procedures. Dis Colon Rectum 35:339–349

    Article  CAS  PubMed  Google Scholar 

  • Dobben AC, Terra MP, Deutekom M et al (2007a) Anal inspection and digital rectal examination compared to anorectal physiology tests and endoanal ultrasonography in evaluating fecal incontinence. Int J Colorectal Dis 22:783–790

    Article  PubMed  Google Scholar 

  • Dobben AC, Terra MP, Slors JF et al (2007b) External anal sphincter defects in patients with fecal incontinence: comparison of endoanal MR imaging and endoanal US. Radiology 242:463–471

    Article  PubMed  Google Scholar 

  • Dobben AC, Terra MP, Deutekom M et al (2007c) The role of endoluminal imaging in clinical outcome of overlapping anterior anal sphincter repair in patients with fecal incontinence. AJR Am J Roentgenol 189:W70–77

    Article  PubMed  Google Scholar 

  • Efron JE, Corman ML et al (2003) Safety and effectiveness of temperature-controlled radio-frequency energy delivery to the anal canal (Secca procedure) for the treatment of fecal incontinence. Dis Colon Rectum 46:1606–1616; discussion 1616–1618

    Article  PubMed  Google Scholar 

  • Ehrenpreis ED, Chang D et al (2007) Pharmacotherapy for fecal incontinence: a review. Dis Colon Rectum 50:641–649

    Article  PubMed  Google Scholar 

  • Engel AF, Kamm MA, Sultan AH et al (1994) Anterior sphincter repair in patients with obstetric trauma. Br J Surg 160:637–640

    CAS  Google Scholar 

  • Fang DT, Nivatvongs S, Vermeulen FD et al (1984) Overlapping sphincteroplasty for acquired fecal incontinence. Dis Colon Rectum 27:720–722

    Article  CAS  PubMed  Google Scholar 

  • Fleshman JW, Peters WR et al (1991) Anal sphincter reconstruction: anterior overlapping muscle repair. Dis Colon Rectum 34:739–743

    Article  CAS  PubMed  Google Scholar 

  • Ganio E, Ratto C, Masin A et al (2001) Neuromodulation for fecal incontinence: Outcome in 16 patients with definitive implant. The initial Italian Sacral Neuromodulation Group (GINS) experience. Dis Colon Rectum 44:965–970

    Article  CAS  PubMed  Google Scholar 

  • Gibbons CP, Bannister JJ et al (1986) An analysis of anal sphincter pressure and anal compliance in normal subjects. Int J Colorectal Dis 1:231–237

    Article  CAS  PubMed  Google Scholar 

  • Grey BR, Sheldon RR, Telford KJ, Kiff ES (2007) Anterior anal sphincter repair can be of long term benefit: a 12-year case cohort from a single surgeon. BMC Surg. 11:7–11

    Google Scholar 

  • Gustavson KH (1964) On the chemistry of collagen. Fed Proc 23:613–617

    CAS  PubMed  Google Scholar 

  • Haab F, Zimmern PE et al (1997) Urinary stress incontinence due to intrinsic sphincteric deficiency: experience with fat and collagen periurethral injections. J Urol 157:1283–1286

    Article  CAS  PubMed  Google Scholar 

  • Hallan RI, Marzouk DE et al (1989) Comparison of digital and manometric assessment of anal sphincter function. Br J Surg 76:973–975

    Article  CAS  PubMed  Google Scholar 

  • Halverson AL, Hull TL (2002) Long-term outcome of overlapping anal sphincter repair. Dis Colon Rectum 45:345–348

    Article  PubMed  Google Scholar 

  • Hecht P, Hayashi K et al (1999) Monopolar radiofrequency energy effects on joint capsular tissue: potential treatment for joint instability. An in vivo mechanical, morphological, and biochemical study using an ovine model. Am J Sports Med 27:761–771

    CAS  PubMed  Google Scholar 

  • Hopkinson BR (1972) Electrical treatment of incontinence using an external stimulator with intra-anal electrodes. Ann R Coll Surg Engl 50:92–111

    CAS  PubMed  Google Scholar 

  • Jarrett ME, Mowatt G et al (2004) Systematic review of sacral nerve stimulation for faecal incontinence and constipation. Br J Surg 91:1559–1569

    Article  CAS  PubMed  Google Scholar 

  • Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77–97

    Article  CAS  PubMed  Google Scholar 

  • Jorge JM, Wexner SD (1997) Anatomy and physiology of the rectum and anus. Eur J Surg 163:723–731

    CAS  PubMed  Google Scholar 

  • Keighley MR (1984) Postanal repair for faecal incontinence. J R Soc Med 77:285–288

    CAS  PubMed  Google Scholar 

  • Kenefick NJ, Emmanuel A et al (2003) Effect of sacral nerve stimulation on autonomic nerve function. Br J Surg 90:1256–1260

    Article  CAS  PubMed  Google Scholar 

  • Konsten J, Baeten CG et al (1993) Morphology of dynamic graciloplasty compared with the anal sphincter. Dis Colon Rectum 36:559–563

    Article  CAS  PubMed  Google Scholar 

  • Korsgen S, Deen KI et al (1997) Long-term results of total pelvic floor repair for postobstetric fecal incontinence. Dis Colon Rectum 40:835–839

    Article  CAS  PubMed  Google Scholar 

  • Kumar D, Benson MJ et al (1998) Glutaraldehyde crosslinked collagen in the treatment of faecal incontinence. Br J Surg 85:978–979

    Article  CAS  PubMed  Google Scholar 

  • Lehur PA, Roig JV, Duinslaeger M (2000) Artificial anal sphincter: prospective clinica and manometric evaluation. Dis Colon Rectum 43:1100–1106

    Article  CAS  PubMed  Google Scholar 

  • Leroi AM, Michot F, Grise P et al (2001) Effect of sacral nerve stimulation in patients with fecal and urinary incontinence. Dis Colon Rectum 44:779–789

    Article  CAS  PubMed  Google Scholar 

  • Lightner D, Calvosa C et al (2001) A new injectable bulking agent for treatment of stress urinary incontinence: results of a multicenter, randomized, controlled, double-blind study of Durasphere. Urology 58:12–15

    Article  CAS  PubMed  Google Scholar 

  • MacDonald A, Smith A et al (1992) Manual dilatation of the anus. Br J Surg 79:1381–1382

    Article  CAS  PubMed  Google Scholar 

  • Macmillan AK, Merrie AE et al (2004) The prevalence of fecal incontinence in community-dwelling adults: a systematic review of the literature. Dis Colon Rectum 47:1341–1349

    Article  PubMed  Google Scholar 

  • Madoff RD, Williams JG et al (1992) Fecal incontinence. N Engl J Med 326:1002–1007

    CAS  PubMed  Google Scholar 

  • Mahieu P, Pringot J et al (1984) Defecography: II. Contribution to the diagnosis of defecation disorders. Gastrointest Radiol 9:253–261

    Article  CAS  PubMed  Google Scholar 

  • Malouf AJ, Norton CS et al (2000) Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet 355:260–265

    Article  CAS  PubMed  Google Scholar 

  • Malouf AJ, Vaizey CJ et al (2001) Internal anal sphincter augmentation for fecal incontinence using injectable silicone biomaterial. Dis Colon Rectum 44:595–600

    Article  CAS  PubMed  Google Scholar 

  • Maslekar S, Gardiner AB, Duthie GS (2007) Anterior anal sphincter repair for fecal incontinence: Good long-term results are possible. J Am Coll Surg 204:40–46

    Article  PubMed  Google Scholar 

  • Matsuoka H, Mavrantonis C et al (2000) Postanal repair for fecal incontinence — is it worthwhile? Dis Colon Rectum 43:1561–1567

    Article  CAS  PubMed  Google Scholar 

  • Matzel KE, Schmidt RA et al (1990) Neuroanatomy of the striated muscular anal continence mechanism. Implications for the use of neurostimulation. Dis Colon Rectum 33:666–673

    Article  CAS  PubMed  Google Scholar 

  • Matzel KE, Stadelmaier U et al (1995) Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence. Lancet 346:1124–1127

    Article  CAS  PubMed  Google Scholar 

  • Mellgren A, Jensen LL et al (1999) Long-term cost of fecal incontinence secondary to obstetric injuries. Dis Colon Rectum 42:857–865; discussion 865–867

    Article  CAS  PubMed  Google Scholar 

  • Michot F, Costaglioli B, Leroi AM et al (2003) Artificial anal sphincter in severe fecal incontinence: outcome of prospective experience with 37 patients in one institution. Ann Surg 237:52–56

    Article  PubMed  Google Scholar 

  • Miller R, Bartolo DC et al (1988) Prospective study of conservative and operative treatment for faecal incontinence. Br J Surg 75:101–105

    Article  CAS  PubMed  Google Scholar 

  • Monga AK, Robinson D et al (1995) Periurethral collagen injections for genuine stress incontinence: a 2-year follow-up. Br J Urol 76:156–160

    Article  CAS  PubMed  Google Scholar 

  • Mundy L, Merlin TL et al (2004) Systematic review of safety and effectiveness of an artificial bowel sphincter for faecal incontinence. Br J Surg 91:665–672

    Article  CAS  PubMed  Google Scholar 

  • Nelson R, Norton N et al (1995) Community-based prevalence of anal incontinence. JAMA 274:559–561

    Article  CAS  PubMed  Google Scholar 

  • O’Brien PE, Skinner S (2000) Restoring control: the Acticon Neosphincter artificial bowel sphincter in the treatment of anal incontinence. Dis Colon Rectum 43:1213–1216

    Article  PubMed  Google Scholar 

  • Oliviera L, Pfeifer J, Wexner SD (1996) Physiological and clinical outcome of anterior sphincteroplasty. Br J Surg 83:502–505

    Article  Google Scholar 

  • Ortiz H, Armendariz P et al (2003) Prospective study of artificial anal sphincter and dynamic graciloplasty for severe anal incontinence. Int J Colorectal Dis 18:349–354

    CAS  PubMed  Google Scholar 

  • Parker SC, Spencer MP, Madoff RD et al (2003) Artificial bowel sphincter: Long-term experience at a single institution. Dis Colon Rectum 46:722–729

    Article  PubMed  Google Scholar 

  • Parks AG, McPartlin JF (1971) Late repair of injuries of the anal sphincter. Proc R Soc Med 64:1187–1189

    CAS  PubMed  Google Scholar 

  • Parks AG, Porter NH et al (1962) Experimental study of the reflex mechanism controlling the muscle of the pelvic floor. Dis Colon Rectum 5:407–414

    Article  CAS  PubMed  Google Scholar 

  • Parks AG, Gordon PH et al (1976) A classification of fistulain-ano. Br J Surg 63:1–12

    Article  CAS  PubMed  Google Scholar 

  • Pearl RK, Prasad ML et al (1991) Bilateral gluteus maximus transposition for anal incontinence. Dis Colon Rectum 34:478–481

    Article  CAS  PubMed  Google Scholar 

  • Person B, Wexner SD (2005) Advances in the surgical treatment of fecal incontinence. Surg Innov 12:7–21

    Article  PubMed  Google Scholar 

  • Pescatori M, Anastasio G et al (1992) New grading and scoring for anal incontinence. Evaluation of 335 patients. Dis Colon Rectum 35:482–487

    Article  CAS  PubMed  Google Scholar 

  • Penninckx F (2004) Belgian experience with dynamic graciloplasty for fecal incontinence. Br J Surg 91:872–878

    Article  CAS  PubMed  Google Scholar 

  • Pette D, Vrbova G (1992) Adaptation of mammalian skeletal muscle fibers to chronic electrical stimulation. Rev Physiol Biochem Pharmacol 120:115–202

    Article  CAS  PubMed  Google Scholar 

  • Powell NB, Riley RW et al (1998) Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disordered breathing. Chest 113:1163–1174

    Article  CAS  PubMed  Google Scholar 

  • Prochiantz A, Gross P (1982) Gluteal myoplasty for sphincter replacement. Priciples, results and prospects. J Pediatr Surg 17:25–30

    Article  CAS  PubMed  Google Scholar 

  • Rasmussen OO, Buntzen S, Sorensen M et al (2004) Sacral nerve stimulation in fecal incontinence. Dis Colon Rectum 47:1156–1158

    Article  Google Scholar 

  • Richards WO, Scholz S et al (2001) Initial experience with the Stretta procedure for the treatment of gastroesophageal reflux disease. J Laparoendosc Adv Surg Tech A 11:267–273

    Article  CAS  PubMed  Google Scholar 

  • Rongen MJ, Uludag O, El Naggar K et al (2003) Long-term follow-up of dynamic graciloplasty for fecal incontinence. Dis Colon Rectum 46:716–721

    Article  PubMed  Google Scholar 

  • Rothbarth J, Bemelman WA et al (2001) What is the impact of fecal incontinence on quality of life? Dis Colon Rectum 44:67–71

    Article  CAS  PubMed  Google Scholar 

  • Sainio P, Husa A (1985) Fistula-in-ano. Clinical features and long-term results of surgery in 199 adults. Acta Chir Scand 151:169–176

    CAS  PubMed  Google Scholar 

  • Shafik A (1993) Polytetrafluoroethylene injection for the treatment of partial fecal incontinence. Int Surg 78:159–161

    CAS  PubMed  Google Scholar 

  • Shafik A (1995) Perianal injection of autologous fat for treatment of sphincteric incontinence. Dis Colon Rectum 38:583–587

    Article  CAS  PubMed  Google Scholar 

  • Shouler PJ, Grimley RP et al (1986) Fistula-in-ano is usually simple to manage surgically. Int J Colorectal Dis 1:113–115

    Article  CAS  PubMed  Google Scholar 

  • Sitzler PJ, Thompson JP (1996) Overlap repair of damaged anal sphincter. A single surgeon series. Dis Colon Rectum 39:1356–1360

    Article  CAS  PubMed  Google Scholar 

  • Slade MS, Goldberg SM et al (1977) Sphincteroplasty for acquired anal incontinence. Dis Colon Rectum 20:33–35

    Article  CAS  PubMed  Google Scholar 

  • Smith LE, Blatchford GJ (2006) Physiologic testing. The ASCRS textbook of colon and rectum surgery. Wolf BG, Fleshman JW, Beck DE, Pemberton JH, Wexner SD (eds) Springer Science+Business Media, LLC, New York, pp 40–56

    Google Scholar 

  • Snooks SJ, Swash M et al (1990) Effect of vaginal delivery on the pelvic floor: a 5-year follow-up. Br J Surg 77:1358–1360

    Article  CAS  PubMed  Google Scholar 

  • Sultan AH, Kamm MA et al (1994) Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. BMJ 308:887–891

    CAS  PubMed  Google Scholar 

  • Takahashi T, Garcia-Osogobio S et al (2002) Radio-frequency energy delivery to the anal canal for the treatment of fecal incontinence. Dis Colon Rectum 45:915–922

    Article  PubMed  Google Scholar 

  • Tanagho EA (1993) Concepts of neuromodulation. Neurourol Urodyn 12:487–488

    Article  CAS  PubMed  Google Scholar 

  • Tanagho EA, Schmidt RA (1982) Bladder pacemaker: scientific basis and clinical future. Urology 20:614–619

    Article  CAS  PubMed  Google Scholar 

  • Terra MP, Deutekom M et al (2006a) Relationship between external anal sphincter atrophy at endoanal magnetic resonance imaging and clinical, functional, and anatomic characteristics in patients with fecal incontinence. Dis Colon Rectum 49:668–678

    Article  PubMed  Google Scholar 

  • Terra MP, Beets-Tan RG et al (2006b) MRI in evaluating atrophy of the external anal sphincter in patients with fecal incontinence. AJR Am J Roentgenol 187:991–999

    Article  PubMed  Google Scholar 

  • Thornton MJ, Kennedy ML, Lubowski DZ et al (2004) Longterm follow-up of dynamic graciloplasty for fecal incontinence. Colorectal Dis 6:470–476

    Article  CAS  PubMed  Google Scholar 

  • Triadafilopoulos G, Utley DS (2001) Temperature-controlled radiofrequency energy delivery for gastroesophageal reflux disease: the Stretta procedure. J Laparoendosc Adv Surg Tech A 11:333–339

    Article  CAS  PubMed  Google Scholar 

  • Triadafilopoulos G, DiBaise JK et al (2002) The Stretta procedure for the treatment of GERD: 6 and 12 month follow-up of the US open label trial. Gastrointest Endosc 55:149–156

    Article  PubMed  Google Scholar 

  • Vaizey CJ, Carapeti E et al (1999) Prospective comparison of faecal incontinence grading systems. Gut 44:77–80

    Article  CAS  PubMed  Google Scholar 

  • Weiss EG, Efron JE et al (2002) Submucosal injection of carbon coated beads is a successful and safe office based treatment for fecal incontinence. Dis Colon Rectum 45:46–47

    Google Scholar 

  • Wexner SD, Marchetti F et al (1991) The role of sphincteroplasty for fecal incontinence reevaluated: a prospective physiologic and functional review. Dis Colon Rectum 34:22–30

    Article  CAS  PubMed  Google Scholar 

  • Whitehead WE, Wald A et al (2001) Treatment options for fecal incontinence. Dis Colon Rectum 44:131–142; discussion 142–144

    Article  CAS  PubMed  Google Scholar 

  • Williams NS, Patel J et al (1991) Development of an electrically stimulated neoanal sphincter. Lancet 338:1166–1169

    Article  CAS  PubMed  Google Scholar 

  • Wong WD, Congliosi SM, Spencer MP et al (2002) The safety and efficacy of the artificial bowel sphincter for fecal incontinence: results from a multicentre cohort study. Dis Colon Rectum 45:1139–1153

    Article  PubMed  Google Scholar 

  • Young CJ, Mathur MN, Eyers AA et al (1998) Successful overlapping anal sphincter repair: Relation to patient age, neuropathy, and colostomy formation. Dis Colon Rectum 41:344

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA

    Steven D. Wexner MD, FACS, FRCS, FRCS(Ed) (Chairman, Department of Colorectal Surgery Chief of Staff)

  2. Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA

    Sherief Shawki MD (Research Fellow)

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  1. Steven D. Wexner MD, FACS, FRCS, FRCS(Ed)
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Wexner, S.D., Shawki, S. (2008). Surgical Management of Fecal Incontinence. In: Imaging Pelvic Floor Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71968-7_16

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