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 13,352 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The consensus conference "Advancing the Treatment of Fecal and Urinary Incontinence Through Research" had as one of its goals the development of a comprehensive list of research priorities. Experts from all disciplines that treat incontinence-gastroenterology, pediatric gastroenterology, urology, urogynecology, colorectal surgery, geriatrics, neurology, nursing, and psychology-and patient advocates were asked to identify their highest priorities for treatment-related research. Meeting participants were shown the aggregated list and invited to propose additional priorities. Treatments for fecal incontinence (biofeedback, sphincteroplasty, antidiarrheal and laxative medications, and sacral nerve stimulation) require validation by randomized, controlled trials. For urinary incontinence, the greatest need is to compare pharmacological, behavioral, and surgical treatments. Trials assessing combined treatments (e.g., biofeedback plus surgery vs. surgery alone or biofeedback alone) are also needed. New drugs are needed that target anal canal resting pressure in fecal incontinence and hypersensitivity to distention in urge urinary incontinence. It may be possible to substantially reduce the incidence of incontinence through modification of obstetric practices (e.g., avoiding episiotomies or offering elective cesarean delivery to high-risk patients), providing pelvic floor exercises before childbirth, and educating patients to avoid straining during defecation. For the elderly, practical behavioral and pharmacological treatments are needed that can postpone or avoid institutionalization. Social science research may identify ways to counteract the social stigma of fecal incontinence and assist physicians in providing patients with more comprehensive and understandable information on the risks associated with different treatment options.
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PMID:Priorities for treatment research from different professional perspectives. 1497 59

Fecal incontinence is a very common disease but its exact prevalence is largely unknown. The condition gives rise to personal and social stigma with severe repercussions for the patient. It can be caused by a large number of physiopathologic disorders and consequently there is a wide variety of treatments. In this article we review the incidence and etiology of fecal incontinence, physical and instrumental examinations (with description of the components of the anorectal laboratory), traditional medical and surgical treatments and, lastly, the results of sphincteroplasties.
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PMID:[Fecal incontinence. Patient assessment and classical treatments]. 1647 14

Pelvic organ prolapse, a condition in which the ligaments and muscles that suspend the vagina within the pelvic cavity weaken or break, is a frequent cause of urinary and fecal incontinence. Stigma, embarrassment and the belief that pelvic organ prolapse is a natural part of aging prevents many women from seeking treatment. Medical imaging modalities such as defecography, dynamic magnetic resonance imaging and ultrasound help health care providers make effective treatment decisions.
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PMID:Pelvic organ prolapse. 1670 87

Fecal incontinence is a common problem in women, which often enforces life changes owing to embarrassment and social stigma. It is frequently not reported or diagnosed. Age, obstetric trauma, pelvic surgery, chronic diarrhea, obesity and other medical conditions, such as diabetes and stroke, increase the risk of fecal incontinence. Preventive strategies include avoiding diarrheal triggers, discouraging the routine use of episiotomies, early recognition and management of obstetric injuries and possibly pelvic floor muscle exercises after childbirth. Treatment options are available and should be discussed with the patient. These, in order of progression, are education and medications for diarrhea or constipation, supportive care, biofeedback training and surgery.
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PMID:Fecal incontinence in women: causes and treatment. 1907 90

Faecal incontinence can have a profound effect on the lives of children and their families. Children who have faecal incontinence have a greater risk of being bullied at school, and parents are often frustrated and concerned by the associated social stigma. The social and psychological effects of faecal incontinence on the child can last for a long time. This article provides an overview of the causes of faecal incontinence, discusses assessment of bowel dysfunction and outlines current treatments. The article also highlights the importance of the nurse's role, as part of the multidisciplinary team, in assessing, treating and supporting children and their families to ensure that any interventions have the best chance of succeeding and to minimise the risk of relapse.
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PMID:Assessing and treating faecal incontinence in children. 1981 8

Incontinence of faeces may effect up to 10% of adults in the community but people are reluctant to seek help owing to the stigma of this debilitating and distressing condition. There are multiple risk factors associated with the development of faecal incontinence that community nurses are well placed to identify. These risk factors range from reduced dietary and fluid intake to the complex symptoms found in patients with long-term conditions. Community continence services are historically nurse led and are delivered at the patient interface by community nurses, in collaboration with other disciplines and agencies. The ongoing drive to increase productivity sets a challenge for nursing to demonstrate the value of investing in a proactive approach to preventing faecal incontinence in older people or to improve the quality of life for those with intractable symptoms. A range of proven and emerging interventions are able to achieve more positive outcomes for patients.
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PMID:Faecal incontinence in older people: delivering effective, dignified care. 2070 81

People with fecal incontinence (FI) symptoms often do not report their symptoms to their care providers, which may adversely impact their quality of life. Although the differential diagnosis for the cause of an individual's FI symptoms can be done by a family doctor, nurse practitioner, or a specialist, many other healthcare professionals have the training and education to competently screen patients for FI risk factors. Those individuals identified with FI symptoms can be supported to disclose this information to their healthcare professional in a timely manner. Healthcare professionals have a responsibility to encourage patients to seek medical treatment in order to ensure an accurate diagnosis for their FI symptoms, and to support clients through the process of managing symptoms including adhering to care plans to mitigate modifiable causes of FI. When clients actively seek medical help, it is referred to as help-seeking behavior. Given the sensitive nature of FI, with the associated stigma and taboo surrounding the topic, healthcare providers must conscientiously work to support each client with sensitivity and self-awareness.
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PMID:Eliciting Help-Seeking Behaviors in Patients With Fecal Incontinence: Supporting Timely Access to Treatment. 2758 Feb 81

Faecal incontinence is a condition that can develop as a result of age, injury or long-term conditions, and may be associated with significant stigma for those affected. Symptoms of faecal incontinence include leakage of flatus and faeces, and the condition can affect people of any age, although it is most prevalent in older people. Faecal incontinence is a subject that might not be openly discussed by patients and healthcare professionals; therefore, it is important for nurses to be aware of its signs, symptoms, causes and risk factors, so that they can identify patients at high risk. This article provides an overview of faecal incontinence, exploring its causes, psychological effects for patients, and conservative and specialised management measures, as well as the nurse's role in providing treatment and support.
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PMID:Nursing management of patients with faecal incontinence. 2968 86

Fecal incontinence, or the involuntary leakage of solid or loose stool, is estimated to affect 7-15% of community-dwelling women (). It is associated with reduced quality of life, negative psychologic effects, and social stigma (), yet many women do not report their symptoms or seek treatment. Less than 3% of women who do self-report fecal incontinence will have this diagnosis recorded in their medical record (). Obstetrician-gynecologists are in a unique position to identify women with fecal incontinence because pregnancy, childbirth, obstetric anal sphincter injuries (OASIS), and pelvic floor dysfunction are important risk factors that contribute to fecal incontinence in women. The purpose of this Practice Bulletin is to provide evidence-based guidelines on the screening, evaluation, and management of fecal incontinence to help obstetrician-gynecologists diagnose the condition and provide conservative treatment or referral for further work up and surgical management when appropriate. For discussion on fecal incontinence associated with OASIS, see Practice Bulletin No. 198, Prevention and Management of Obstetric Lacerations at Vaginal Delivery ().
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PMID:ACOG Practice Bulletin No. 210 Summary: Fecal Incontinence. 3091 91

Fecal incontinence, or the involuntary leakage of solid or loose stool, is estimated to affect 7-15% of community-dwelling women (1). It is associated with reduced quality of life, negative psychologic effects, and social stigma (2), yet many women do not report their symptoms or seek treatment. Less than 3% of women who do self-report fecal incontinence will have this diagnosis recorded in their medical record (3). Obstetrician-gynecologists are in a unique position to identify women with fecal incontinence because pregnancy, childbirth, obstetric anal sphincter injuries (OASIS), and pelvic floor dysfunction are important risk factors that contribute to fecal incontinence in women. The purpose of this Practice Bulletin is to provide evidence-based guidelines on the screening, evaluation, and management of fecal incontinence to help obstetrician-gynecologists diagnose the condition and provide conservative treatment or referral for further work up and surgical management when appropriate. For discussion on fecal incontinence associated with OASIS, see Practice Bulletin No. 198, Prevention and Management of Obstetric Lacerations at Vaginal Delivery (4).
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PMID:ACOG Practice Bulletin No. 210: Fecal Incontinence. 3165 26


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