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Fecal incontinence (FI), or in some forms, encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents — including flatus (gas), liquid stool elements and mucus, or solid feces. FI is a sign or a symptom, not a diagnosis.
Pascual et al. (2011) revised the follow-up results of the first 50 people that submit to sacral nerve stimulation (SNS) to treat fecal incontinence in Madri (Spain). The most common cause for the fecal incontinence was obstetric procedures, idiopathic origin and prior anal surgery, and all these people were refractory to the conservative ...
Bowel management is the process which a person with a bowel disability uses to manage fecal incontinence or constipation. [1] People who have a medical condition which impairs control of their defecation use bowel management techniques to choose a predictable time and place to evacuate. [ 1 ]
It can be offered routinely as a treatment option for people with overactive bladder provided that doctors are sure that the patients understand what is involved and agree to the treatment and that the results of the procedure are monitored. A NICE guidance for fecal incontinence is currently under review.
The standard behavioral treatment for functional encopresis, which has been shown to be highly effective, is a motivational system such as a contingency management system. [5] In addition to this basic component, seven or eight other behavioral treatment components can be added to increase effectiveness. [5]
A 2007 review by the Cochrane Collaboration was cautiously optimistic about the results of sacral nerve stimulation in fecal incontinence, although it also concluded that trial periods of stimulation did not adequately identify patients that would benefit from the procedure, and that more longer-term studies were needed. [2] [needs update]
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