Surgical Treatment Options For Fecal Incontinence

The exact incidence of fecal incontinence is unknown. Nevertheless, it is estimated that 0,5 to 1,5 % (1) of the normal population is suffering from this disease; if soiling is included the incidence rises up to 5% (2). In geriatric wards the incidence is as high as 30% ; in psychiatric wards up to 50% (3) . Several factors are responsible for continence (Fig. 1) Therefore treatment options are variable. To achieve a high success rate, clinical and physiological work up must be demanded. INTRODUCTION The exact incidence of fecal incontinence is unknown. Nevertheless, it is estimated that 0,5 to 1,5 % (1) of the normal population is suffering from this disease; if soiling is included the incidence rises up to 5% (2). In geriatric wards the incidence is as high as 30% ; in psychiatric wards up to 50% (3) . Several factors are responsible for continence (Fig. 1) Therefore treatment options are variable. To achieve a high success rate, clinical and physiological work up must be demanded. Figure 1 : Factors maintaining fecal continence Stool volume and consistency