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Management of fecal incontinence in adults
Author(s) -
Norton C.,
Whitehead W.E.,
Bliss D.Z.,
Harari D.,
Lang J.
Publication year - 2010
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.20803
Subject(s) - medicine , fecal incontinence , psychological intervention , urinary incontinence , bowel function , bowel management , intervention (counseling) , physical therapy , gynecology , urology , constipation , nursing , surgery
This article summarises the findings from the conservative management of faecal incontinence in adults committee of the International Consultation on Incontinence. We conducted comprehensive literature searches using the following keywords combined with the relevant intervention: “anal, anorectal, bowel, faecal, fecal, rectal, stool” and “continent$ or incontinent$,” Prevalence etimates for faecal or anal incontinence vary widely, from 2.2% to 2.5%. Expert opinion supports the use of general health education, patient teaching about bowel function and advice on lifestyle modification, but the evidence base is small. Unlike urinary incontinence, few “lifestyle” associations have been identified with FI and little is known about whether interventions designed to reduce potential risk factors might improve FI. The article summarises the evidence and recommendations from the committee for clinical practice and future research. Neurourol. Urodynam. 29: 199–206, 2010. © 2009 Wiley‐Liss, Inc.