Stimulation For Faecal Incontinence

The prevalence of fecal incontinence is approximately 5% in the general population. In all patients, the treatment of fecal incontinence is primarily conservative and surgery is offered as second line treatment. Electrical stimulation of the sacral nerves (SNS) with an implanted electrode is a minimally invasive and effective treatment of idiopathic FI and the indications for SNS are widening. However, SNS requires surgery while percutaneous electrical stimulation of peripheral nerves could be a non-invasive alternative. Stimulation for Faecal Incontinence comprises five studies. Study I examines the clinical effectiveness of transcutaneous stimulation. Study II and III examined the acute effect of rectal stimulation in idiopathic incontinent patients and patients with spinal cord injury. In study IV the validity of a new research tool for assessment of gastrointestinal motility during stimulation is evaluated. In study V, small intestinal motility is investigated in patients implanted with a sacral nerve stimulator for faecal incontinence. Based on the present book it can be concluded that: DGN stimulation reduces faecal incontinence in patients with idiopathic faecal incontinence but the mode of action remains unknown. DGN does not affect rectal wall properties in patients with idiopathic faecal incontinence. DGN increases rectal tone in patients with supraconal spinal cord injury, but the validity and clinical importance of the finding need further study. MTS-1 is useful for determination of gastric emptying and small intestinal transit time. Preliminary results indicate that SNS does not affect small intestinal motility, but data need further analysis and have to be confirmed in a larger study.

This book presents state of the art knowledge regarding the pathophysiology and diagnosis of fecal incontinence and describes and illustrates all relevant treatment techniques. In addition to the approaches that have been the mainstay of treatment of fecal incontinence to date, it covers recent innovations and emerging options, including neurostimulation, pioneering techniques exploiting the potential of stem cells, biofeedback training, reconstructive surgery, and advances in biomedical engineering applicable to replacement surgery. Fecal incontinence is a common, socially debilitating disorder of multifactorial etiology that poses many management challenges. This book will assist all relevant medical specialists, including surgeons, neurologists, gastroenterologists, urogynecologists, and other clinicians, in achieving correct and timely diagnosis and delivering effective therapy that reflects the ongoing revolution in treatment.

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.

Fecal Incontinence: New Insights for the Healthcare Professional: 2011 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Fecal Incontinence in a compact format. The editors have built Fecal Incontinence: New Insights for the Healthcare Professional: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Fecal Incontinence in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Fecal Incontinence: New Insights for the Healthcare Professional: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Faecal incontinence is a highly prevalent condition that continues to have an impact on the activities of daily living of both men and women worldwide. This book, Current Topics in Faecal Incontinence, provides a comprehensive and up-to-date overview of some specialist areas in the diagnosis and management of this condition. The topics that are discussed include the evaluation of faecal incontinence, quality of life, faecal incontinence in autoimmune disease and in obstructive defaecation, anal implants, and biosphincters. This book is an invaluable resource for physicians, surgeons, nurses, and allied healthcare professionals who seek to expand and refresh their knowledge in this field, as well as a source of excellent information for those preparing for professional examinations.

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.

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.