Management of Fecal Incontinence : Current Treatment Approaches and Future Perspectives

This book presents state of the art knowledge regarding the pathophysiology and diagnosis of fecal incontinence and describes and illustrates all relevant treatment techniques. In addition to the approaches that have been the mainstay of treatment of fecal incontinence to date, it covers recent innovations and emerging options, including neurostimulation, pioneering techniques exploiting the potential of stem cells, biofeedback training, reconstructive surgery, and advances in biomedical engineering applicable to replacement surgery. Fecal incontinence is a common, socially debilitating disorder of multifactorial etiology that poses many management challenges. This book will assist all relevant medical specialists, including surgeons, neurologists, gastroenterologists, urogynecologists, and other clinicians, in achieving correct and timely diagnosis and delivering effective therapy that reflects the ongoing revolution in treatment. Front Matter....Pages i-xiii Pelvic Floor Anatomy....Pages 1-9 Physiology and Physiopathology....Pages 11-21 Endoanal Ultrasound....Pages 23-32 Diagnosis and Imaging: MR....Pages 33-41 Anorectal Manometry....Pages 43-50 Electromyography....Pages 51-58 Pelvic Floor Rehabilitation....Pages 59-68 Radiofrequency (SECCA® Procedure)....Pages 69-73 Sacral Nerve Stimulation in Fecal Incontinence....Pages 75-90 Injectable and Implantable Agents: Current Evidence and Perspective....Pages 91-105 Artificial Bowel Sphincter....Pages 107-111 Surgical Treatments....Pages 113-126 Ostomy in Fecal Incontinence....Pages 127-132 Stem Cells....Pages 133-162