Recent Advancements In Surgical Management of Fecal Incontinence
Fecal incontinence (FI) is the uncontrolled passage of feces or gas in an individual who previously had control. The prevalence of the problem varies but can be as high as 50% of institutionalized individuals. The severity varies among individuals, but the negative impact on self-esteem and quality of life can have devastating effects. The goals of treatment are to decrease the frequency and severity of episodes as well as to improve quality of life. At present, several therapies, ranging from medical management to more invasive surgical interventions, are offered for the management of FI. The goals of treatment are to decrease the frequency and severity of episodes and improve quality of life. The decision of which treatment to employ is based on the severity of symptoms and integrity of the anal sphincter. Sacral nerve neuromodulation SNM was approved for use in the management of FI by the FDA in 2011. SNM works by electrical stimulation of the sacral nerve roots, producing anal sphincter augmentation and modulation of spinal/supraspinal pathways. Wexner et al. demonstrated the efficacy of this device in the treatment of FI in a prospective, multicenter study in the US. Success was defined as at least a 50% reduction of incontinent episodes per week over 12 weeks in at least 50% of patients. The authors demonstrated 83% therapeutic success at 12 months, and 41% of patients achieved 100% continence.
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2 COMMENTS
Dr. Piyush Khurana
#1
Nov 27th, 2022 10:48 am
Fecal incontinence is a physically and psychologically debilitating condition that has a negative impact on quality of life, leads to embarrassment and social isolation, and strains personal and family relationships. Fecal incontinence or bowel incontinence is the inability to control bowel movements. An embarrassing and often underreported condition, fecal incontinence causes stool to leak from the rectum without warning. The symptoms can range from occasional seepage of stool when passing gas to loss of control of full bowel movements.
Dr. Gori Nagar
#2
Oct 26th, 2023 9:16 am
Fecal incontinence (FI) can severely impact self-esteem and quality of life, affecting up to 50% of institutionalized individuals. Various treatments are available, from medical management to surgical interventions. Sacral nerve neuromodulation (SNM) gained FDA approval in 2011 for FI management, with its success demonstrated in a prospective study. SNM involves electrical stimulation of sacral nerve roots, improving anal sphincter function. This approach offers promising results, with 83% therapeutic success at 12 months and 41% achieving complete continence.
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