Faecal Incontinence: Under-reported, Under-diagnosed – MM1706
Faecal incontinence is common and under-reported. It impacts
significantly on a patient’s quality of life and may result in social
isolation. Faecal incontinence may occur as a result of neurological
conditions, anorectal trauma and conditions such as inflammatory
bowel disease, constipation and diabetes. Obesity, smoking,
cholecystectomy and immobility are risk factors. Investigations
include endoscopy, manometry and imaging with CT or MRI if indicated.
Pelvic floor exercises, biofeedback and newer treatments such as
sacral nerve stimulation and injection of biocompatible materials
into the anal sphincter complex may lead to symptomatic improvement.
Surgery, including colostomy, may need to be considered in severe
refractory cases.
Modern Medicine – June 2017
