Fecal incontinence is a common and embarrassing condition with a devastating impact on patients' lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines.
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Forewords.- Preface.- Section I Structure and function in continence and incontinence: Anatomy and Physiology of Continence.- Epidemiology of Fecal Incontinence.- Pathophysiology of Fecal Incontinence.- Risk Factors in Fecal Incontinence.- Psychological Aspects of Fecal Incontinence.- Impact of Fecal Incontinence on Quality of Life.- Social Aspects and Economics of Fecal Incontinence.- Section II Diagnosis of Fecal Incontinence: Clinical Assessment of Incontinent Patient.- Diagnosis of Fecal Incontinence.- Imaging of fecal Incontinence with Endoanal Ultrasound.- Imaging of Fecal Incontinence.- Diagnostic Work-up in Incontinent Patients: An Integrate Approach.- Section III Treatment of Fecal Incontinence: Patients Selection and Treatment Evaluation.- Medical Treatment.- Rehabilitation and Biofeedback.- Sphincteroplasty.- Post-Anal Repair.- Dynamic Graciloplasty.- Artificial Bowel Sphincter in the Treatment of Severe Fecal Incontinence in Adults.- Gluteoplasty for the Treatment of Fecal Incontinence.- Sacral Nerve Stimulation.- Injectable Bulking Agents.- Radiofrequency.- Physiologic Parameters Predicting Outcome of Non-Surgical Treatments.- Section IV Selected Clinical Conditions: Rectal Resection.- Iatrogenic Anal Sphincter Lesions.- Rectal Prolapse.- Sphincter Atrophy.- Obstetric Lesions: The Coloproctologist's Point of View.- Obstetric Lesions: The Gynaecologist's Point of View.- Neurogenic Fecal Incontinence.- Diabetes .- Fecal Incontinence in Elderly and Institutionalized Patients.- Pelvic Radiotherapy.- Double Incontinence.- Pediatric Fecal Incontinence.- Section V Future Perspectives: Future Perspectives in Management and Research of Fecal Incontinence.- Subject Index
