title: New options for the treatment of fecal incontinence.
abstract: Fecal incontinence, the loss of anal sphincter control leading to the unwanted release of stool or gas, is a physical and psychological handicap that has a tremendous impact on an individual's quality of life. Although medical management is the mainstay of therapy for fecal incontinence, the main focus in this review is on invasive techniques with a goal of highlighting newer technologic and therapeutic advancements. While the standard surgical treatment for fecal incontinence still remains direct sphincter repair with an overlapping sphincteroplasty, this review concentrates specifically on biofeedback, the Procon incontinence device, local injection of synthetic materials, radio frequency energy (Secca procedure), antegrade colonic enemas, sphincteroplasty, gluteoplasty, graciloplasty both stimulated and non-stimulated, the artificial bowel sphincter, and sacral nerve stimulation.
authors: Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, LA.
authors: David A
authors: DA
authors: Margolin
references: N Engl J Med. 1974 Mar 21;290(12):646-9
references: 4813725
references: Dis Colon Rectum. 2002 Sep;45(9):1139-53
references: 12352228
references: Am J Gastroenterol. 1996 Jan;91(1):33-6
references: 8561140
references: Muscle Nerve. 1981 Mar-Apr;4(2):94-105
references: 7010156
references: Dis Colon Rectum. 1992 Apr;35(4):339-49
references: 1582355
references: Dis Colon Rectum. 2002 Aug;45(8):1100-3
references: 12195197
references: Dis Colon Rectum. 2002 Apr;45(4):508-13
references: 12006933
references: Dis Colon Rectum. 2002 Jul;45(7):915-22
references: 12130880
references: Br J Surg. 2001 Nov;88(11):1481-6
references: 11683745
references: Lancet. 1994 May 28;343(8909):1321-4
references: 7910324
references: Gut. 2002 Aug;51(2):225-8
references: 12117884
references: Gut. 2002 Apr;50(4):480-4
references: 11889066
references: Int Surg. 1993 Apr-Jun;78(2):159-61
references: 8354617
references: CMAJ. 1992 Aug 1;147(3):322-8
references: 1643598
references: Br J Surg. 1991 Nov;78(11):1283-5
references: 1760682
references: Dis Colon Rectum. 1997 Aug;40(8):883-8
references: 9269802
references: Plast Reconstr Surg. 1998 Oct;102(5):1626-8
references: 9774022
references: Br J Surg. 1998 Jul;85(7):978-9
references: 9692577
references: Am J Gastroenterol. 2002 Sep;97(9):2328-32
references: 12358252
references: Dis Colon Rectum. 2001 May;44(5):728-36
references: 11357037
references: Dis Colon Rectum. 2003 Dec;46(12):1606-16; discussion 1616-8
references: 14668584
references: JAMA. 1995 Aug 16;274(7):559-61
references: 7629985
references: Dis Colon Rectum. 1995 Jun;38(6):583-7
references: 7774467
references: Ann Surg. 2003 Jan;237(1):52-6
references: 12496530
references: Dis Colon Rectum. 2002 Jun;45(6):809-18
references: 12072635
references: Dis Colon Rectum. 2001 Apr;44(4):595-600
references: 11330591
references: Dis Colon Rectum. 2001 May;44(5):619-29; discussion 629-31
references: 11357019
references: Dis Colon Rectum. 2000 Jun;43(6):743-51
references: 10859072
references: Dis Colon Rectum. 2001 Oct;44(10):1427-35
references: 11598470
references: Ann Surg. 2000 Jul;232(1):143-8
references: 10862207
references: Ann Surg. 1952 Jun;135(6):853-62
references: 14924540
references: Cochrane Database Syst Rev. 2000;(2):CD002111
references: 10796859