Especially in non-Western countries, surgical options are very scarce. However, these techniques are not always successful, carry a substantial morbidity and are not generally available. Surgical treatments such as gracilis plasty, sacral neuromodulation (SNS), artificial sphincter or eventually a stoma are other options. When this fails, a sphincter repair is performed in patients with sphincter defect. The first step in treatment of all forms of fecal incontinence is to regulate defecation with a fiber enriched diet, fiber supplementation and physiotherapy or biofeedback of the pelvic floor. The prevalence of fecal incontinence is estimated to be around 5% in the general population, being higher in women than in men and up to 40% in nursing homes. Anal plugs can be used incidentally for fecal incontinence, especially in children.įecal incontinence is a devastating complaint from patients and affects their quality of life. There was no difference in the outcome between patients with fecal incontinence or constipation.ĬONCLUSION: RCI is more often applied than anal plugs and is helpful in patients with fecal incontinence or constipation, especially for younger patients. Besides age, no predictive factors for success were found. Children tend to be more satisfied ( P = 0.001). RCI (26 fecal incontinence, 22 constipation), 90% are still using it (mean time 6.8 years) and felt satisfied. Children: anal plugs (7), 5 used it on demand for an average of 2.5 years with satisfactory results, one stopped immediately and one after 5 years. Younger adults (< 40 years) were more satisfied with RCI (94 % vs 65%, P = 0.05). RCI (40, 28 fecal incontinence, 12 constipation), 63% are still using it (mean 8.5 years), 88% was satisfied. Adults: anal plugs (8), five stopped immediately, one stopped after 20 mo and two used it for 12-15 mo. RESULTS: Of the 201 patients (93 adults, 108 children), 101 (50%) responded. METHODS: Patients who received treatment with an anal plug or RCI between 19 were investigated with a questionnaire. AIM: To evaluate the feasibility, clinical effect and predicting factors for favorable outcome of treatment with anal plugs in fecal incontinence and retrograde colonic irrigation (RCI) in patients with fecal incontinence or constipation.
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