Surgical treatment of fecal incontinence
10.3760/cma.j.cn441530-20230822-00062
- VernacularTitle:大便失禁的外科治疗
- Author:
Zhenpeng XU
1
;
Guidong SUN
;
Yugen CHEN
;
Wanjin SHAO
Author Information
1. 福建中医药大学附属人民医院肛肠科，福州 350004
- Keywords:
Fecal incontinence;
Surgical treatment;
Indication
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(12):1132-1137
- CountryChina
- Language:Chinese
-
Abstract:
This article describes the surgical treatment of fecal incontinence. There are many surgical methods for fecal incontinence, and each treatment has its own advantages and disadvantages and indications. The appropriate surgical procedure should be selected according to the patient's history, anatomical structure and severity of incontinence. Injectable bulking agents is suitable for passive fecal incontinence. Sphincteroplasty is suitable for patients with sphincter injury caused by vaginal delivery or surgical trauma. Sacral nerve stimulation and posterior tibial nerve stimulation are relatively conservative methods. Gracilomyoplasty, artificial anal sphincter or magnetic anal sphincter can be used in the treatment of refractory fecal incontinence, but with many complications. Colostomy is the ideal choice for patients who have failed to respond to conservative treatment and cannot undergo these procedures.
