Urinary Fecal Incontinence

Completely updated to reflect current practice, the 3rd edition of this comprehensive resource provides a multi-disciplinary, in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options for the various types of incontinence. Assessment, behavioral therapies, and multidisciplinary care are emphasized as key elements in the treatment and management of incontinence. In addition to the life-span content discussed throughout the book, an entire chapter is devoted to bowel and bladder management in children. Authored and contributed by leaders in the Wound, Ostomy and Continence Nurses Society (WOCN). Provides an in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options to facilitate optimal assessment and care. Features detailed assessment guidelines to help clinicians accurately identify causative and contributing factors, and implement of a comprehensive management plan. Discusses urinary incontinence and fecal incontinence in separate sections to address the special considerations for each in an organized, focused, easy-to-use format. Features individual, complete chapters for each of the following types of incontinence: stress, functional, reflex (neurogenic bladder), and overactive bladder (urge incontinence). Devotes separate chapters to Pathology & Management of Postprostatectomy Incontinence and Bowel and Bladder Management in Children to ensure comprehensive coverage of these topics. Offers life-span content to help clinicians provide appropriate care for patients in every stage of life. Includes self-assessment questions with answers and rationales for review and self-testing. Integrates multidisciplinary care throughout to highlight its importance in successful treatment. Features a new chapter on Pathology & Management of Postprostatectomy Incontinence that provides detailed information on this increasingly important aspect of incontinence. Includes content on the impact of spinal cord injury on bladder and bowel function.

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.

URINARY AND FECAL INCONTINENCE: NURSING MANAGEMENT presents the most current and relevant information needed by health professionals caring for patients with an incontinence problem. Focusing on multidisciplinary incontinence management, it covers each type of incontinence, addressing evaluation, pathology, presentation, and management of the condition. This comprehensive resource includes new chapters devoted to each type of incontinence, bowel and bowel and bladder dysfunction in children and research and clinical issues. In addition, chapters on assessment and continence services have been significantly expanded. * Includes equal coverage of both urinary and fecal incontinence, providing a comprehensive continence resource. * Targets key concepts by providing self-assessment questions at the end of each chapter. * Provides comprehensive multiple choice questions at the end of the text to assist in preparing for the CWOCN or the CCN exam. * Contains a special section on pediatric conditions to address specific considerations and treatments for the pediatric patient. * Provides guidance in establishing continence services in a variety of settings, such as outpatient clinics and long-term care facilities. * Addresses each of the different types of incontinence (acute/transient, stress, urge, reflex, functional, retention with overflow, and intractable) in pathology, presentation, and management to provide a comprehensive review of each of the conditions and the appropriate management options. * Authored and reviewed by members of the Wound, Ostomy and Continence Nurses Society (WOCN). * Incorporates nursing assessment and management of incontinence to focus on the role of the continence nurse in providing optimal patient outcomes. * Examines the physiology of bladder and bowel function to ensure a comprehensive understanding of the subject matter. * Provides learning objectives at the beginning of each chapter to guide the user. * Highlights important information in boxed format to enable the user to quickly focus on key points. * Contains illustrations and color plates which graphically illustrate conditions, procedures, and treatments.

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.

Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals effectively uses a multidisciplinary approach to assist health professionals in their care of patients with urinary incontinence. It is recognized that the best outcomes are achieved by a multidisciplinary team approach especially with regard to complex cases and care of the elderly. This book is written by expert authors from around the world with a wealth of experience in conducting clinics on pelvic floor, aged care voiding dysfunction and neuro-rehabilitation. The text is illustrated throughout and contains case-studies with input and practical tips from the different health disciplines at each point. Each chapter concludes with a list of seminal publications and web-based resources to assist the reader in the clinical environment. Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals is of benefit to medical and allied health disciplines including family physicians, nurses, urologists, gynecologists, physiotherapists, geriatricians, neurologists and rehabilitation specialists.

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.

Treatment and Care of the Geriatric Veterinary Patient offers veterinarians a complete guide to treating and managing geriatric canine and feline patients. Offers practical guidance on managing all aspects of veterinary care in geriatric pets Takes a holistic approach to managing the geriatric patient, from common diseases and quality of life to hospice, euthanasia, client communications, and business management Focuses on dogs and cats, with a chapter covering common exotic animals Provides clinically oriented advice for ensuring quality of life for older pets Includes access to a companion website with videos, client education handouts, and images

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.