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Keeping Control is a compassionate, medically reliable, and thoroughly informative resource for anyone who wants to understand the possible causes of fecal incontinence, learn about important advances in management and treatment, and do something about the problem. Written by a noted Johns Hopkins physician and an experienced medical writer and editor, Keeping Control explains the mechanics of normal bowel function and describes the latest medical findings about what can cause incontinence, from pre-existing conditions and diseases to accidents and childbirth injuries. It thoroughly explains the wide range of treatment options, including remarkable successes with biofeedback and habit training. It includes special advice for managing incontinence in children and older people. And it offers important advice on how to work with your physician to take control of the problem. Keeping Control also includes a glossary of terms and valuable information about contacting support groups and using additional resources. An epilogue by Nancy Norton, founder of the International Foundation for Bowel Dysfunction, describes the personal challenge of living with fecal incontinence and explains how she and many others have found the courage to cope with the problem and live life to the fullest.
The book surveys the prevalence, the pathophysiology, the diagnosis, the current therapy, both conservative and operative, and the long-term outcome of treatment of urinary and fecal incontinence. It is targeted at general and colorectal surgeons, urologists, gynecologists and gastroenterologists who treat incontinent patients, and also gives general practitioners and geriatric physicians an overview of the diagnostic methods and treatment options that can be offered to incontinent patients.
Completely updated to reflect current practice, the 3rd edition of this comprehensive resource provides a multi-disciplinary, in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options for the various types of incontinence. Assessment, behavioral therapies, and multidisciplinary care are emphasized as key elements in the treatment and management of incontinence. In addition to the life-span content discussed throughout the book, an entire chapter is devoted to bowel and bladder management in children. Authored and contributed by leaders in the Wound, Ostomy and Continence Nurses Society (WOCN). Provides an in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options to facilitate optimal assessment and care. Features detailed assessment guidelines to help clinicians accurately identify causative and contributing factors, and implement of a comprehensive management plan. Discusses urinary incontinence and fecal incontinence in separate sections to address the special considerations for each in an organized, focused, easy-to-use format. Features individual, complete chapters for each of the following types of incontinence: stress, functional, reflex (neurogenic bladder), and overactive bladder (urge incontinence). Devotes separate chapters to Pathology & Management of Postprostatectomy Incontinence and Bowel and Bladder Management in Children to ensure comprehensive coverage of these topics. Offers life-span content to help clinicians provide appropriate care for patients in every stage of life. Includes self-assessment questions with answers and rationales for review and self-testing. Integrates multidisciplinary care throughout to highlight its importance in successful treatment. Features a new chapter on Pathology & Management of Postprostatectomy Incontinence that provides detailed information on this increasingly important aspect of incontinence. Includes content on the impact of spinal cord injury on bladder and bowel function.
Colorectal Physiology reviews recent findings in fecal incontinence, which is becoming a greater concern to physicians and surgeons as our population grows older and becomes better educated. International experts in anorectal physiology and management of incontinence present their personal views and specific clinical experiences on topics such as causes, diagnostic testing, and modes of treatment. The contributors also examine theoretical and practical aspects of current opinion. This book is a useful reference for researchers, colon and rectal surgeons, physicians, and students interested in understanding and managing fecal incontinence.
Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals effectively uses a multidisciplinary approach to assist health professionals in their care of patients with urinary incontinence. It is recognized that the best outcomes are achieved by a multidisciplinary team approach especially with regard to complex cases and care of the elderly. This book is written by expert authors from around the world with a wealth of experience in conducting clinics on pelvic floor, aged care voiding dysfunction and neuro-rehabilitation. The text is illustrated throughout and contains case-studies with input and practical tips from the different health disciplines at each point. Each chapter concludes with a list of seminal publications and web-based resources to assist the reader in the clinical environment. Multidisciplinary Care of Urinary Incontinence - a Handbook for Health Professionals is of benefit to medical and allied health disciplines including family physicians, nurses, urologists, gynecologists, physiotherapists, geriatricians, neurologists and rehabilitation specialists.
Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.
This book focuses on the management of children with fecal incontinence and constipation. Despite accurate anatomic reconstruction, many children still suffer from a variety of functional bowel problems. These include not only children with congenital anatomic problems such as anorectal malformations and Hirschsprung disease, but also includes the huge population of children who suffer from constipation, with or without soiling, and a large spinal population (spina bifida) who have bowel problems.
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.
The prevalence of fecal incontinence is approximately 5% in the general population. In all patients, the treatment of fecal incontinence is primarily conservative and surgery is offered as second line treatment. Electrical stimulation of the sacral nerves (SNS) with an implanted electrode is a minimally invasive and effective treatment of idiopathic FI and the indications for SNS are widening. However, SNS requires surgery while percutaneous electrical stimulation of peripheral nerves could be a non-invasive alternative. Stimulation for Faecal Incontinence comprises five studies. Study I examines the clinical effectiveness of transcutaneous stimulation. Study II and III examined the acute effect of rectal stimulation in idiopathic incontinent patients and patients with spinal cord injury. In study IV the validity of a new research tool for assessment of gastrointestinal motility during stimulation is evaluated. In study V, small intestinal motility is investigated in patients implanted with a sacral nerve stimulator for faecal incontinence. Based on the present book it can be concluded that: DGN stimulation reduces faecal incontinence in patients with idiopathic faecal incontinence but the mode of action remains unknown. DGN does not affect rectal wall properties in patients with idiopathic faecal incontinence. DGN increases rectal tone in patients with supraconal spinal cord injury, but the validity and clinical importance of the finding need further study. MTS-1 is useful for determination of gastric emptying and small intestinal transit time. Preliminary results indicate that SNS does not affect small intestinal motility, but data need further analysis and have to be confirmed in a larger study.
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