title: [The classification and choice of the method of treatment in fecal incontinence in children].
abstract: Complex examinations of 682 children with fecal incontinence including the colonodynamic investigation, computed tomography of the pelvis and endorectal sonography have shown that disturbance of the reservoir function and defecation urge mainly take place in cases of functional disorders. Anal incontinence of an organic type can also arise without an injury of the sphincter apparatus as a result of prolapse of the mucose membrane or stenosis of the distal portion of the rectum. In such cases the operative treatment is indicated. In patients with the incompetent internal and partially injured external sphincter treatment should be started by conservative measures. When the function of the pubo-rectal muscle or of all the elements of the closing apparatus is disturbed the operative treatment is indicated. The operative correction is possible for neurogenic incontinence in order to create the ano-rectal angle. A classification of anal incontinence in children is proposed which takes into account the etiology, pathogenesis and allows the optimum treatments to be chosen.
authors.forename: I A
authors.initials: IA
authors.lastname: Komissarov
mesh_terms: D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery; D001676:Biofeedback, Psychology; D002648:Child; D003131:Combined Modality Therapy; D003672:Defecation; D005242:Fecal Incontinence / Q000145:classification* / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007420:Intestine, Large / Q000503:physiopathology; D008297:Male
vernacular_title: K voprosu o klassifikatsii i vybore metoda lecheniia nederzhaniia kala u deteĭ.