[New options in the treatment of ano-rectal incontinence].
Ano-rectal incontinence is known to affect about 2% of the population. Main risk factors are traumatic delivery and previous anal surgery. All patients should have a trial of conservative treatment. Patients with major external anal sphincter defect have a 70 to 80% improvement of their symptoms after an overlap sphincter repair Unfortunately, these results deteriorate over time. Sacral nerve modulation improves continence and quality of life in 75 to 100% of patients with various aetiologies. In case of idiopathic internal sphincter degeneration, sphincter augmentation with bulking agents seems to be the least expensive option.
Achtari
C
C
Département de gynécologie-obstétrique CHUV, Lausanne. Chahin.Achtari@chuv.ch
Meyer
S
S
De Grandi
P
P
D001004:Anus Diseases / Q000175:diagnosis / Q000628:therapy*; D003663:Decision Trees; D005242:Fecal Incontinence / Q000175:diagnosis / Q000628:therapy*; D006801:Humans