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What Is Fecal Incontinence That Urologists Need to Know?

Authors
Kim, HongwookShim, JisungSeo, YumiLee, ChanghoChang, Youngseop
Issue Date
3월-2021
Publisher
KOREAN CONTINENCE SOC
Keywords
Fecal incontinence; Graciloplasty; Sacral nerve stimulation; Sphincteroplasty
Citation
INTERNATIONAL NEUROUROLOGY JOURNAL, v.25, no.1, pp.23 - 33
Indexed
SCIE
SCOPUS
KCI
Journal Title
INTERNATIONAL NEUROUROLOGY JOURNAL
Volume
25
Number
1
Start Page
23
End Page
33
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/128473
DOI
10.5213/inj.2040240.120
ISSN
2093-4777
Abstract
Fecal incontinence (FI) undoubtedly reduces quality of life and adversely affects the social life of the affected individual. FI has a higher prevalence with age and has an equivalent prevalence to urinary incontinence in patients with genitourinary disease, but is often not confirmed in these cases. A thorough investigation is needed to diagnose FI, with the common etiology of this condition in mind, and several questionnaires can be used to identify symptoms. The physical examination contains digital rectal examination carries out to identify the patient's condition. Ultrasound, colonoscopy, and rectum pressure test can be performed. Patients educated in diet-related issues, bowel movements, and defecation mechanism. Nonoperative options such as diet control and Kegel exercise should be performed at first. Surgical treatment of FI is considered when conservative management and oral medications produce no improvement. Surgical options include less invasive procedures like bulking agent injections, and more involved approaches from sacral nerve stimulation to invasive direct sphincter repair and artificial bowel sphincter insertion. Good outcomes in FI cases have also recently been reported for barrier devices.
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