Comprehensive Clinical Approach to Fecal Incontinence

Abstract

Fecal incontinence is a disturbing condition, which reduces the quality of life of patients. Prevalence of this apprehensive problem is usually underestimated. However, it is more common in female, elderly, and institutionalized subjects. Factors that may be associated are urinary incontinence, diabetes mellitus, depression, diarrhea, history of anorectal surgery, anorectal trauma, pelvic organ surgery, and pelvic irradiation. To improve this condition, physicians should have insight into the individual's pathophysiology through the process of careful history taking, severity, and quality of life assessment, thorough physical examination and comprehensive anatomic and neurophysiologic evaluation. These tests include imaging, anorectal manometry, and neural conduction tests. Finally, by these gathered information, individualized treatment for the patient is designed. Patient's education and judicious follow-up are also parts of the plan.

Gambaran Tekanan Darah Sistolik, Tekanan Darah Diastolik, Tingkat Hipertensi, Serta Nilai Fecal Incontinence Severity Index Pada Kelompok Lanjut Usia

“…Berdasarkan etiologi, inkontinensia fekal terbagi atas gangguan anorectal, gejala saluran cerna atau keduanya. Secara anatomi kelainan melibatkan rektum, kanal anus, otot dasar panggul, dan sistem saraf (Bharucha et al, 2022;Tantiphlachiva, 2020).…”

“…Pentingnya mengetahui komorbiditas pasien, kualitas hidup pasien, dan tingkat ketergantungan terhadap pelaku rawat dalam melakukan aktivitas dasar. Hal ini berguna untuk menentukan pemilihan terapi dan edukasi yang tepat kepada pasien (Duelund-Jakobsen, Worsoe, Lundby, Christensen, & Krogh, 2016;Tantiphlachiva, 2020).…”