Fecal incontinence is the loss of voluntary control of stool, liquid or gas or loss of the ability to defer defecation until a socially acceptable time. This can result in significant social embarrassment and limitations in lifestyle. Incontinence varies greatly in severity and frequency. The multi modality approach to the evaluation and treatment of fecal incontinence available at Colon and Rectal Associates offer the best chance at success.
Anal Canal Ultrasound
Ultrasound or sound wave technology can be used in the evaluation of fecal incontinence to visualize the anal sphincter muscles for defects or injuries. This information can be valuable to guide further treatment. This test requires specialized equipment and expertise available only through Colon and Rectal Associates in our regional area.
Anal manomety measures pressures in the anal canal at various levels under different conditions such as rest, straining and squeezing. Sensation in the rectum and anal area can also be evaluated during this painless outpatient test. The information gained during manometry is helpful in evaluating incontinence and measuring response to therapy.
Biofeedback training is an office based therapy useful in selected cases of incontinence or other pelvic floor dysfunction.
Surgical repair or reconstruction of the anal sphincter often significantly improves continence and lifestyle in patients with muscle defects or injuries. Most often overlapping anal sphincter repair can be performed as a short stay procedure.
Sacral Nerve Stimulation
During sacral nerve stimulation, a surgically implanted device delivers electrical impulses to the nerves that regulate rectal function (sacral nerves). The unit is placed beneath the skin of the buttocks, near the tailbone.