Abstract:
:Gastroenterologists frequently encounter pelvic floor disorders, which affect 10% to 15% of the population. The anorectum is a complex organ that collaborates with the pelvic floor muscles to preserve fecal continence and enable defecation. A careful clinical assessment is critical for the diagnosis and management of defecatory disorders and fecal incontinence. Newer diagnostic tools (eg, high-resolution manometry and magnetic resonance defecography) provide a refined understanding of anorectal dysfunctions and identify phenotypes in defecatory disorders and fecal incontinence. Conservative approaches, including biofeedback therapy, are the mainstay for managing these disorders; new minimally invasive approaches may benefit a subset of patients with fecal incontinence, but more controlled studies are needed. This mini-review highlights advances, current concepts, and controversies in the area.
journal_name
Gastroenterologyjournal_title
Gastroenterologyauthors
Bharucha AE,Rao SSdoi
10.1053/j.gastro.2013.10.062subject
Has Abstractpub_date
2014-01-01 00:00:00pages
37-45.e2issue
1eissn
0016-5085issn
1528-0012pii
S0016-5085(13)01580-1journal_volume
146pub_type
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