Fecal Incontinence: Diagnosis and Treatment

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Carlo Ratto, Giovanni B. Doglietto
Springer Science & Business Media, Jun 8, 2007 - Medical - 362 pages
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Fecal incontinence is a frequent, distressing condition that has a devastating impact on patients’ lives. However, patients are typically embarrassed and reluctant to acknowledge this disability, so they relinquish the possibility of being cured and remain socially isolated. Since fecal incontinence may result from various pathophysiological situations, an accurate diagnostic work-up of each patient is fundamental. Today, a wide range of therapeutic options is available, but making the correct choice is pivotal to the successful management of this condition. This book is aimed at all physicians involved in the assessment and treatment of fecal incontinence. Its main purpose is to review the latest advances in the epidemiologic, socio-economic, psychologic, diagnostic, and therapeutic aspects of fecal incontinence, in order to establish guidelines for effective treatment.


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Epidemiology of Faecal Incontinence
Pathophysiology of Faecal Incontinence
Risk Factors in Faecal Incontinence
Psychological Aspects of Fecal Incontinence
Social Aspects and Economics of Fecal Incontinence
Clinical Assessment of Incontinent Patient
Imaging of Faecal Incontinence with Endoanal Ultraosund
Imaging of Fecal Incontinence
Sacral Nerve Stimulation
Injectable Bulking Agents
Iatrogenic Sphincter Lesions
Rectal Prolapse
The Coloproctologists Point of View
The Gynaecologists Point of View
Neurogenic Fecal Incontinence

An Integrate Approach
Patient Selection and Treatment Evaluation
Medical Treatment of Fecal Incontinence
Postanal Pelvic Floor Repair
The Artificial Bowel Sphincter in the Treatment of Severe Fecal
Gluteoplasty for the Treatment of Fecal Incontinence
Fecal Incontinence in Elderly and Institutionalized Patients
Pelvic Radiotherapy
Double Incontinence
Pediatric Fecal Incontinence
Future Perspectives in Management and Research of Fecal

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About the author (2007)

CARLO RATTO. He was born in Neaples, July 6th, 1962. He was graduated in Medicine and Surgery at the Catholic University of Rome in 1987. Specialist in General Surgery.

He is Researcher at the Department of Clinica Chirurgica, Catholic University, Rome.

His clinical practice, at the Division of Chirurgia Digestiva, Department of Surgical Sciences of Catholic University, Rome (Policlinico "A. Gemelli"), concerns particularly the colo-recto-anal diseases. He is actively involved in research on: Colorectal cancer, in particular concerning diffusion modalities of the tumor and prognosis, integrated therapies (surgery, chemoradiation, intraoperative radiation therapy), molecular biology; Anal cancer, in particular concerning staging and restaging of the tumor, integrated therapies (chemoradiation); Anorectal physiology, in particular concerning anorectal manometry, electrophysiology studies, endoanal ultrasound in benign anorectal disorders; Fecal incontinence and constipation, in particular concerning, pathophysiology and treatment with traditional and novel therapeutic modalities (sphincteroplasty, dynamic graciloplasty, sacral neuromodulation); Fistula-in-ano, in particular concerning the assessment of fistula and abscess with endoanal ultrasound related to surgery results; Rectocele, in particular, concerning pathophysiology and modalities of clinical presentation, treatment options.

He is author of a number of scientific publications on international journals, and presented results of his research at national and international scientific meetings.

He is active member of: American Society of Colon and Rectal Surgeons (ASCRS); European Society of Coloproctology (EACP); SocietÓ Italiana di Chirurgia (SIC); SocietÓ Italiana di Chirurgia Oncologica (SICO); SocietÓ Italiana di Chirurgia Colorettale (SICCR)

He is National Secretary of the SocietÓ Italiana di Chirurgia Colorettale (SICCR)

He is National Scientific Secretary of the Italian Group for Sacral Neuromodulation (GINS).

GIOVANNI BATTISTA DOGLIETTO. He was born in Sparone (TO), April 17th, 1948. He was graduated in Medicine and Surgery at the Catholic University of Rome. Specialist in General Surgery and Urology.

He is the Chief of the Division of Digestive Surgery of "A. Gemelli" Hospital, and Ordinary Professor of General Surgery at Catholic University, Rome.

His clinical practice concerns particularly the colo-recto-anal diseases, as well as the other GI neoplasms and diseases. He is involved in the management of fecal incontinence. He is actively involved in research on GI diseases.

He is author of more than 500 scientific publications on national and international journals.

He is active member of: SocietÓ Italiana di Chirurgia (SIC); SocietÓ Italiana di Chirurgia Oncologica (SICO); SocietÓ Italiana di Chirurgia Colorettale (SICCR)