Free Management of Fecal Incontinence Current Treatment Approaches and Future Perspectives pdf download

Free Management of Fecal Incontinence Current Treatment Approaches and Future Perspectives pdf download

ecal incontinence is an extremely common condition, whose true prevalence is diffi cult to assess. Until a few years ago in non-specialized centers, care was confi ned on the use of restraint principals such as absorbent pads. T he loss of the ability to hold gas and feces is an outcome of a dysfunctional sphincter whose orderly ability to voluntary release stool and evacuating bowel contents in socially appropriate moments is damaged. This ability is related to the normal functioning of the involved structures (rectum, pelvic fl oor, and anal sphincters) and is associated with the integrity of their neurosensory components. Incontinence is the result of irregularity of any of these systems together with other systemic diseases, which may have altered intestinal motility and stool consistency as well as diseases that affect superior cerebral capability.

 Management of Fecal Incontinence Current Treatment Approaches and Future Perspectives

Management of Fecal Incontinence Current Treatment Approaches and Future Perspectives

Incontinence can have features of enhanced disability that reduces signifi cantly the patient’s quality of life and, in severe cases, leads patients to renounce all forms of social life. The prevalence increases signifi cantly with age coupled with the ordinary aging process of the connective tissue, of the smooth and the striated muscle component and of the pelvic district fascia, which anatomically and physiologically guarantee its functionality. Therefore, the elderly are affected the most by this pathology, that even if found to be benign it still becomes debilitating, not only for the patient but for his caregiver as well, with a considerable social and health impact. I n most cases, the diagnosis of the disease is made belatedly, not only due to its increased prevalence in elderly subjects, but also due to the habitual patient’s reticence in dealing with the problem since it troubles one’s most intimate and personal sphere.

CONTENTS:  Management of Fecal Incontinence Current Treatment Approaches and Future Perspectives

1 Pelvic Floor Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Menelaos Karpathiotakis

2 Physiology and Physiopathology . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Paolo Urciuoli , Dimitri Krizzuk , and Giada Livadoti

3 Endoanal Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

Domenico Mascagni , Gianmarco Grimaldi , and Gabriele Naldini

4 Diagnosis and Imaging: MR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Gianfranco Gualdi and Maria Chiara Colaiacomo

5 Anorectal Manometry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Danilo Badiali

6 Electromyography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Maurizio Inghilleri , Maria Cristina Gori , and Emanuela Onesti

7 Pelvic Floor Rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Lucia d’Alba and Margherita Rivera

8 Radiofrequency (SECCA® Procedure) . . . . . . . . . . . . . . . . . . . . . 69

Marco Frascio and Francesca Mandolfi no

9 Sacral Nerve Stimulation in Fecal Incontinence . . . . . . . . . . . . . 75

Marileda Indinnimeo , Cosima Maria Moschella , Gloria Bernardi , and Paolo Gozzo

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