Causes of fecal incontinence
All psychoneurological disorders can cause constipation and thus fecal overflow incontinence for rectal impaction.
Neurological disorders affecting at or below the sacral parasympathetic outflow, extrinsic and intrinsic innervation of the recto-ano-pelvic area.
Diagnosis of fecal incontinence
In all patients
Exclude structural recto-ano-pelvic alterations and fecal impaction.
Evaluate the presence of liquid stools.
Neurophysiologic investigations of the pelvic floor
In specific patients
Management of fecal incontinence
Fecal impaction (see constipation)
Liquid stools (see diarrhea)
Recto-Ano-Pelvic dysfunction with only partial or no denervation
Recto-Ano-Pelvic dysfunction with total denervation
*Trigger defecatory reflex with physical maneuvers + glycerin, stimulant laxative suppository *Electrostimulation of S2-S3 roots.
*Malone anterograde enema