Neurologic fecal incontinence

Abstract

Introduction: This manuscript summarizes the work of Committee 10 on neurologic bladder and bowel of the International Consultation on Incontinence in [2008][2009]. As the data are very large the outcome is presented in different manuscripts. This manuscript deals with neurologic fecal incontinence (FI). Methods: Through in debt literature review all aspects of neurologic urinary and FI were studied for levels of evidence. Recommendations for diagnosis and treatment, and for future research were made. Results: Pathophysiology was summarized for different levels of lesions. For epidemiology, specific diagnostics, conservative treatment, and surgical treatment of neurologic FI levels of evidence and grades of recommendation were made. Conclusions: Though data are available that advice and guide in the management of FI in neurologic patients, not many data are with a high level of evidence or high grade of recommendation. More and well-structured research is needed.

Neurogenic Bowel Dysfunction in Patients with Neurogenic Bladder

“…In general, the goal of neurogenic bowel management is to accomplish complete evacuation of the rectum on a regular basis, thus reducing the risk of fecal impaction, urgency, and incontinence (1). This may be achieved through a multifaceted approach consisting of conservative, medical and even surgical approaches.…”

“…The bladder and rectum share embryologic origin, have closely related autonomic and somatic innervation, and their voluntary control depends on intact function of complex neural networks (1). Symptoms associated with neurogenic bladder and bowel can lead to significant medical complications and social difficulties with dramatic adverse impact on the patients’ quality of life (2).…”

Management of genital burns: A review

“…Transurethral catheter placement is often traumatic. Bowel perforations during insertion of a suprapubic tube are reported 17 . Furthermore, in both approaches, urinary tract colonization is unavoidable.…”

Prevalence of Incontinence During Rehabilitation in Patients Following a Stroke

“…Many recent recommendations, guidelines, and protocols for UI management among neurologic patients have been published [8,29]. Pelvic floor muscle training was shown to benefit stroke patients with UI, as it lessened the impact of UI on QoL after 12 weeks of training (including 1 week of group therapy and daily home exercise) [30].…”

“…In addition, other lower urinary tract symptoms following a stroke were also prevalent (eg, nocturia [76%], urgency [70%], and daytime frequency [59%]) and had a major impact on the daily lives of stroke survivors in Sweden [32]. Therefore, to restore voiding function and continence, rehabilitation professionals should be aware of double incontinence following a stroke, properly assess incontinence according to recommendations for neurologic patients with incontinence, and provide appropriate treatment so that the prevalence of incontinence at discharge from rehabilitation will be lower and the impact of incontinence after discharge lesser [8,29]. The QoL of stroke survivors in the future will be improved.…”