What Is Fecal Incontinence That Urologists Need to Know?

• Published in: International neurourology journal Vol. 25; no. 1; pp. 23 - 33
• Main Authors: Kim, HongWook, Shim, Jisung, Seo, Yumi, Lee, Changho, Chang, Youngseop
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Continence Society 01.03.2021; 대한배뇨장애요실금학회
• Subjects: fecal incontinence; graciloplasty; Review; sacral nerve stimulation; sphincteroplasty; 비뇨기과학; Fecal incontinence; Graciloplasty; Sphincteroplasty; Sacral nerve stimulation
• ISSN: 2093-4777; 2093-6931
• DOI: 10.5213/inj.2040240.120

Fecal incontinence (FI) undoubtedly reduces quality of life and adversely affects the social life of the affected individual. FI has a higher prevalence with age and has an equivalent prevalence to urinary incontinence in patients with genitourinary disease, but is often not confirmed in these cases. A thorough investigation is needed to diagnose FI, with the common etiology of this condition in mind, and several questionnaires can be used to identify symptoms. The physical examination contains digital rectal examination carries out to identify the patient's condition. Ultrasound, colonoscopy, and rectum pressure test can be performed. Patients educated in diet-related issues, bowel movements, and defecation mechanism. Nonoperative options such as diet control and Kegel exercise should be performed at first. Surgical treatment of FI is considered when conservative management and oral medications produce no improvement. Surgical options include less invasive procedures like bulking agent injections, and more involved approaches from sacral nerve stimulation to invasive direct sphincter repair and artificial bowel sphincter insertion. Good outcomes in FI cases have also recently been reported for barrier devices.