title: [Conservative therapy and minimal invasive surgery for treating faecal incontinence].
abstract: Faecal incontinence should primarily be managed in a conservative way, and if this is not sufficient different options for minimally invasive surgery should be considered. Dietary regimens, fibers, constipating agents, enemas, biofeedback and colonic irrigation may be tried as first-line therapy. Posterior tibial nerve stimulation and injections of bulging agents can be offered, but the evidence is still not convincing. Sacral nerve stimulation is a well documented treatment for faecal incontinence. Magnetic anal sphincter implantation should be considered only in highly selected patients.
authors.affiliation: Clinique de Chirurgie Digestive et Endocrinienne, Centre Hospitalier Universitaire de Nantes, Frankrig.
authors.forename: Paul
authors.initials: P
authors.lastname: Lehur
authors.forename: Klaus
authors.initials: K
authors.lastname: Matzel
authors.forename: Cor
authors.initials: C
authors.lastname: Baeten
authors.forename: Lilli
authors.initials: L
authors.lastname: Lundby
mesh_terms: D001003:Anal Canal / Q000601:surgery; D001065:Appendix / Q000601:surgery; D001676:Biofeedback, Psychology; D004043:Dietary Fiber / Q000008:administration & dosage; D004599:Electric Stimulation Therapy / Q000379:methods; D005242:Fecal Incontinence / Q000178:diet therapy / Q000601:surgery / Q000628:therapy*; D006801:Humans; D055909:Magnetic Field Therapy / Q000379:methods; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012447:Sacrum / Q000293:injuries; D013979:Tibial Nerve / Q000503:physiopathology; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods