Fecal Incontinence

The book surveys the prevalence, the pathophysiology, the diagnosis, the current therapy, both conservative and operative, and the long-term outcome of treatment of urinary and fecal incontinence. It is targeted at general and colorectal surgeons, urologists, gynecologists and gastroenterologists who treat incontinent patients, and also gives general practitioners and geriatric physicians an overview of the diagnostic methods and treatment options that can be offered to incontinent patients.

Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines.

This book focuses on the management of children with fecal incontinence and constipation. Despite accurate anatomic reconstruction, many children still suffer from a variety of functional bowel problems. These include not only children with congenital anatomic problems such as anorectal malformations and Hirschsprung disease, but also includes the huge population of children who suffer from constipation, with or without soiling, and a large spinal population (spina bifida) who have bowel problems.

Keeping Control is a compassionate, medically reliable, and thoroughly informative resource for anyone who wants to understand the possible causes of fecal incontinence, learn about important advances in management and treatment, and do something about the problem. Written by a noted Johns Hopkins physician and an experienced medical writer and editor, Keeping Control explains the mechanics of normal bowel function and describes the latest medical findings about what can cause incontinence, from pre-existing conditions and diseases to accidents and childbirth injuries. It thoroughly explains the wide range of treatment options, including remarkable successes with biofeedback and habit training. It includes special advice for managing incontinence in children and older people. And it offers important advice on how to work with your physician to take control of the problem. Keeping Control also includes a glossary of terms and valuable information about contacting support groups and using additional resources. An epilogue by Nancy Norton, founder of the International Foundation for Bowel Dysfunction, describes the personal challenge of living with fecal incontinence and explains how she and many others have found the courage to cope with the problem and live life to the fullest.

The book describes the current management of fecal incontinence from an advanced practice nursing perspective. It fills a gap in nursing knowledge promoting and showcasing the expertise and significant contribution of advanced practice nurses whose role is so important in the health care system. Authors’ objectives are to disseminate information about evidenced-based nursing care for the incontinent patient to improve outcomes and quality of life as well as to instruct nurses involved in continence care to practice at a high quality level. The book is structured in chapters, starting by explaining fecal incontinence and its impact on quality of life. The second chapter discusses advanced practice continence nursing. The epidemiology of fecal incontinence is reviewed to provide an appreciation of the scope of the problem. Normal defecation and mechanisms to ensure continence are reviewed to improve understanding of the alterations resulting in fecal incontinence. The next chapters focus on assessment, diagnosis and management of fecal incontinence in various patient groups which parallels the delivery of care. Since surgery is a treatment option in some cases, a chapter explains surgical approaches and the postoperative nursing care. As skin damage is the most common complication of fecal incontinence there is a chapter about management of these associated problems. The last chapter addresses managing fecal incontinence in the patient with urinary continence also. Practice related chapters include a case study. All chapters highlight key information in a box or table. The intended readers are international advanced practice nurses who care for patients with incontinence as well as continence nurse specialists practicing at a general level. General nurses interested in continence care might also be interested in reading the book. Other disciplines who are part of the healthcare team may be interested in learning more about role of the advanced practice nurse.

Colorectal Physiology reviews recent findings in fecal incontinence, which is becoming a greater concern to physicians and surgeons as our population grows older and becomes better educated. International experts in anorectal physiology and management of incontinence present their personal views and specific clinical experiences on topics such as causes, diagnostic testing, and modes of treatment. The contributors also examine theoretical and practical aspects of current opinion. This book is a useful reference for researchers, colon and rectal surgeons, physicians, and students interested in understanding and managing fecal incontinence.

Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines.

Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.