Abstrakt

Fecal incontinence is a common problem especially in the elderly resulting in a reduced quality of life. The mechanisms causing incontince can be detected by sophisticated methods in most of the patients. Diagnostic work-up starts with history, digital investigation and anoproctoscopy. The specialist will further investigate with anorectal manometry, anal endosonography and EMG of the external anal sphincter muscle. Using therapeutic algorithms, incontinence can be improved or even continence restored in many patients. Non-operative therapy comprises hygienic methods, medical therapy, electrostimulation (intraanal, tibial nerve), and training methods like pelvic floor exercises or biofeedback. Also, several operative methods can be used to help the incontinent patient like sphincteroplasty, bulking agents, sacral nerve stimulation, dynamic graciloplasty, and implantation of an artificial sphincter.

Autoreninformation

Autoren

• C. Pehl

Abteilungen

• Krankenhaus Vilsbiburg, Inkontinenz- und Beckenbodenzentrum, LaKuMed Kliniken, Lehrkrankenhaus der Technischen Universität München

Adresse

Prof. Dr. Christian Pehl
Krankenhaus Vilsbiburg
Inkontinenz- und Beckenbodenzentrum
LaKuMed Kliniken
Lehrkrankenhaus der Technischen Universität München
Krankenhausstraße 2
D–84137 Vilsbiburg
Email: [email protected]

Citation