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Faecal incontinence in older people: evaluation, treatment and new surgical techniques

Published online by Cambridge University Press:  24 February 2014

C Cerdán-Santacruz ,
M Vigara-García ,
M Ortega-López  and
J Cerdán-Miguel
C Cerdán-Santacruz*
Affiliation:
Colorectal Surgery Department, Clinica Santa Elena, Madrid
M Vigara-García
Affiliation:
Department of Geriatrics and Gerontology, Hospital Clinico ‘San Carlos’, Madrid, Spain
M Ortega-López
Affiliation:
Colorectal Surgery Department, Clinica Santa Elena, Madrid
J Cerdán-Miguel
Affiliation:
Colorectal Surgery Department, Clinica Santa Elena, Madrid
*
Address for correspondence: Carlos Cerdán Santacruz, Avenida de El Ferrol 35, 3º 1, CP 28029, Madrid, Spain. Email: carloscerdansantacruz@hotmail.com
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Summary

Faecal incontinence is a disabling condition, with a high personal, social and economic cost. Whilst it may occur at any age, prevalence and severity of symptoms is higher among older people. There are many therapeutic options, ranging from non-invasive treatments to complex surgical techniques, with results that can be considered satisfactory in about 70% of individuals. A comprehensive study of the type of incontinence and its presentation and severity, together with consideration of the general condition of the patient and their environment, are the keys that will decide the best treatment option.

Keywords

faecal incontinencesphincteroplastysacral nerve stimulationsacral neuromodulationposterior tibial nerve stimulationartificial anal sphincter
Type
Review Article
Information
Reviews in Clinical Gerontology , Volume 24 , Issue 2 , May 2014 , pp. 105 - 116
Copyright
Copyright © Cambridge University Press 2014 

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