Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence

1995 ◽  
Vol 38 (1) ◽  
pp. 14-18 ◽  
Author(s):  
K. I. Deen ◽  
D. Kumar ◽  
J. G. Williams ◽  
E. A. Grant ◽  
M. R. B. Keighley
Keyword(s):  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Randomized Trial ◽  
Anal Sphincter ◽  
Internal Anal Sphincter ◽  
Pelvic Floor Repair

Long-term results of total pelvic floor repair for postobstetric fecal incontinence

1997 ◽  
Vol 40 (7) ◽  
pp. 835-839 ◽  
Author(s):  
S. Körsgen ◽  
K. I. Deen ◽  
M. R. B. Keighley
Keyword(s):  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Long Term Results ◽  
Pelvic Floor Repair ◽  
Total Pelvic Floor Repair

Internal anal sphincter in neurogenic fecal incontinence

1988 ◽  
Vol 95 (4) ◽  
pp. 997-1002 ◽  
Author(s):  
D.Z. Lubowski ◽  
R.J. Nicholls ◽  
D.E. Burleigh ◽  
M. Swash
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Internal Anal Sphincter ◽  
Neurogenic Fecal Incontinence

Stress, Urge, and Mixed Types of Partial Fecal Incontinence: Pathogenesis, Clinical Presentation, and Treatment

2007 ◽  
Vol 73 (1) ◽  
pp. 6-9
Author(s):  
Ahmed Shafik ◽  
Olfat El Sibai ◽  
Ismail A. Shafik ◽  
Ali A. Shafik
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Internal Anal Sphincter ◽  
External Anal Sphincter ◽  
Clinical Presentation ◽  
Individual Treatment ◽  
Electromyographic Activity ◽  
Postanal Repair ◽  
Different Types ◽  
Mixed Types

The authors investigated the hypothesis that partial fecal incontinence (PFI) had variable manifestations that can be categorized as different types of PFI with different pathogeneses and treatment. Anal and rectal pressures as well as external and internal anal sphincter electromyographic activity were recorded in 163 patients with PFI and in 25 healthy volunteers. Patients were treated with biofeedback or surgically. Three types of PFI were encountered: stress fecal incontinence (SFI; 55 patients), urge fecal incontinence (UFI; 72 patients), and mixed fecal incontinence (MFI; 36 patients). Anal pressure decreased in three groups in which MFI had the lowest pressure. A significant reduction in external anal sphincter electromyographic activity occurred in SFI, in internal anal sphincter electromyographic activity in UFI, and of both sphincters in MFI. Bio-feedback cured 36 of 55 patients and postanal repair cured 10 of 19 patients with SFI. Forty-eight of 72 patients with UFI responded to biofeedback and 16 of 24 responded to internal anal sphincter repair. Biofeedback failed in MFI patients. Twenty-four of 27 patients who consented to operative correction of the sphincteric defect were cured. Three types of PFI could be identified: SFI, UFI, and MFI. Each type has its own etiology and symptoms, and requires individual treatment. Biofeedback succeeded in treating the majority of SFI and UFI patients. Surgical correction of the anal sphincter was performed after biofeedback failure.

Internal anal sphincter in patients with fecal incontinence

1990 ◽  
Vol 98 (4) ◽  
pp. 1103
Author(s):  
Guido Basilisco ◽  
Paolo Bianchi
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Internal Anal Sphincter

Abnormalities of innervation of internal anal sphincter in fecal incontinence

1993 ◽  
Vol 38 (11) ◽  
pp. 1961-1969 ◽  
Author(s):  
Christopher T. M. Speakman ◽  
Charles H. V. Hoyle ◽  
Michael M. Kamm ◽  
Michael M. Henry ◽  
R. John Nicholls ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Internal Anal Sphincter

scholarly journals Pelvic Floor Repair for Cases with Fecal Incontinence.

1995 ◽  
Vol 48 (6) ◽  
pp. 534-540
Author(s):  
K. Maeda ◽  
M. Hashimoto ◽  
O. Yamamoto ◽  
J. Koh ◽  
K. Nakajima ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Repair

Therapie anorektaler Erkrankungen

Praxis ◽  
2007 ◽  
Vol 96 (7) ◽  
pp. 249-255 ◽  
Author(s):  
Herold
Keyword(s):  
Pelvic Floor ◽  
Anal Sphincter ◽  
Biofeedback Training ◽  
Artificial Anal Sphincter ◽  
Pelvic Floor Repair ◽  
Eine Hohe ◽  
Anale Inkontinenz ◽  
Operative Eingriffe ◽  
Total Pelvic Floor Repair

Hämorrhoidalleiden: Eine stadienorientierte Therapie des Hämorrhoidalleidens mit konservativen und operativen Massnahmen bietet eine hohe Heilungschance mit niedrigem Komplikations- und Rezidivrisiko. Während die neuen Lokaltherapeutika und die HAL-Technik noch weiter evaluiert werden müssen, hat die Staplermethode einen festen Platz im Therapiespektrum des Hämorrhoidalleidens mit Hilfe guter Resultate hoher Evidenz erreicht. Analfissur: Muskelrelaxierende Lokaltherapeutika (Nitropräparate, Ca-Antagonisten) stellen derzeit die Therapie erster Wahl bei chronischer Analfissur dar. Bei unzureichendem Erfolg hat eine Fissurektomie eine hohe Heilungsrate. Abszess und Fistel: Symptomatische Fisteln werden entsprechend ihres Bezugs zur Sphinktermuskulatur behandelt mit dem Ziel der Fistelsanierung bei Erhalt der Kontinenz. Distale Fisteln werden so in aller Regel komplett gespalten (hohe Heilungsrate), während proximale Fisteln mit plastischen Verfahren verschlossen werden (Heilungsrate je nach Verlauf 50–80%). Anale Inkontinenz: Die Therapie der Stuhlinkontinenz orientiert sich zum einen an der Schwere, zum anderen an der Ätiologie der Erkrankung. Neben konservativen Massnahmen stehen vor allem operative Eingriffe zur Verfügung. Konservativ: Stuhlregulation, Beckenbodengymnastik, Elektrostimulation, Biofeedback-Training Operativ: Sphinkterrekonstruktion, Pre-anal Repair, Post-anal Repair, Total Pelvic Floor Repair, Dynamische Graciloplastik, Artificial Anal Sphincter, Sakralnervenstimulation, Stomaanlage.

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