Full Description
Fecal incontinence is a frequent, distressing condition that has a devastating impact on patients' lives. However, patients are typically embarrassed and reluctant to acknowledge this disability, so they relinquish the possibility of being cured and remain socially isolated. Since fecal incontinence may result from various pathophysiological situations, an accurate diagnostic work-up of each patient is fundamental. Today, a wide range of therapeutic options is available, but making the correct choice is pivotal to the successful management of this condition. This book is aimed at all physicians involved in the assessment and treatment of fecal incontinence. Its main purpose is to review the latest advances in the epidemiologic, socio-economic, psychologic, diagnostic, and therapeutic aspects of fecal incontinence, in order to establish guidelines for effective treatment.
Contents
Structure and Function in Continence and Incontinence.- Anatomy and Physiology of Continence.- Epidemiology of Faecal Incontinence.- Pathophysiology of Faecal Incontinence.- Risk Factors in Faecal Incontinence.- Psychological Aspects of Faecal Incontinence.- Impact of Fecal Incontinence on Quality of Life.- Social Aspects and Economics of Fecal Incontinence.- Diagnosis of Fecal Incontinence.- Clinical Assessment of the Incontinent Patient.- Diagnosis of Fecal Incontinence.- Imaging of Faecal Incontinence with Endoanal Ultrasound.- Imaging of Fecal Incontinence.- Diagnostic Workup in Incontinent Patients: An Integrated Approach.- Treatment of Fecal Incontinence.- Patient Selection and Treatment Evaluation.- Medical Treatment of Fecal Incontinence.- Rehabilitation and Biofeedback.- Sphincteroplasty.- Postanal Pelvic Floor Repair.- Dynamic Graciloplasty.- The Artificial Bowel Sphincter in the Treatment of Severe Fecal Incontinence in Adults.- Gluteoplasty for the Treatment of Fecal Incontinence.- Sacral Nerve Stimulation.- Injectable Bulking Agents.- Radiofrequency.- Physiological Parameters Predicting the Outcome of Surgical and Nonsurgical Treatment of Fecal Incontinence.- Selected Clinical Conditions.- Rectal Resection.- Iatrogenic Sphincter Lesions.- Rectal Prolapse.- Sphincter Atrophy.- Obstetric Lesions: The Coloproctologist's Point of View.- Obstetric Lesions: The Gynaecologist's Point of View.- Neurogenic Fecal Incontinence.- Diabetes.- Fecal Incontinence in Elderly and Institutionalized Patients.- Pelvic Radiotherapy.- Double Incontinence.- Pediatric Fecal Incontinence.- Future Perspectives.- Future Perspectives in Management and Research of Fecal Incontinence.
