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Fecal incontinence has three main consequences: local reactions of the perianal skin and urinary tract, including maceration (softening and whitening of the skin due to continuous moisture), urinary tract infections, or decubitus ulcers (pressure sores); [1] a financial expense for individuals (due to the cost of medication and incontinence ...
Anal atresia is another birth defect where the rectum and/or anus is deformed: fecal incontinence is a side effect. [8] The one common feature of people who use anal plugs is they all experience fecal incontinence, which is both uncomfortable and embarrassing.
Bowel management does not cure fecal incontinence, but can greatly increase quality of life. With successful bowel management, a child may be more apt to establish independence in normal daily life. Children with severe incontinence may also be able to attend school and participate in activities they otherwise would never be able to. [2]
Before implantation of a sacral nerve stimulator patients are required to have failed more conservative therapy. [3] Patients should be counseled on diet modification, exercises to strengthen pelvic floor muscles, targeted injections and medications that could help improve their incontinence. [3]
Parents and children should receive counseling about overflow incontinence and withholding behavior. An organized toilet-training program with a reward system can help reduce faecal impaction. Pharmacological treatment for children with functional constipation consists of maintenance therapy and faecal disimpaction.
Percutaneous tibial nerve stimulation (PTNS), also referred to as posterior tibial nerve stimulation, is the least invasive form of neuromodulation used to treat overactive bladder (OAB) and the associated symptoms of urinary urgency, urinary frequency and urge incontinence.
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