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Faecal incontinence: a pathophysiological approach 

Faecal incontinence: a pathophysiological approach
Chapter:
Faecal incontinence: a pathophysiological approach
Author(s):

Ian Lindsey

DOI:
10.1093/med/9780199579624.003.0004
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date: 05 June 2020

Chapter 4 posits that the maintenance of continence is a complex physiological process and faecal incontinence has a multifactorial aetiology, which is unlikely to be solved by therapies solely directed at external anal sphincter defects. Results from ventral rectopexy strongly suggest that internal rectal prolapse is not a normal variant but represents a significant and correctable pathology, and that most of these patients will complain of faecal incontinence, with or without obstructed defaecation. Defaecating proctography as part of the routine work up of patients with faecal incontinence is recommended.

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