How many patients are affected by faecal incontinence? A retrospective analysis and therapeutic options from the urban area of Dússeldorf: P167


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Abstract

Aim:Theprevalence of faecal incontinence (FI) is 0.3-18%. Thepresent study investigates the incidence and treatment of FI in our coloproctological centre, as well as the interest of physicians in Dusseldorf in the condition.Method:Thirty-one thousand four hundred and fifty-five patients were treated from October 2005 to April 2010. A retrospective analysis was conducted regarding FI and its treatment. Patients underwent a detailedproctological examination including the Cleveland Clinic Incontinence Score. A questionnaire was sent to 700 physicians of different specialisations to determine the number of patients with FI and the treating physician's awareness of diagnostic and therapeutic options.Results:Three thousand five hundred and four (11%) patients were diagnosed with FI. Initially all patients were treated by conservative management, including biofeedback therapy in 613 cases (17%). A trial of sacral nerve stimulation was performed in 51 patients (1.5%). A permanent neurostimulator was implanted in 22 patients. Eight patients were treated using an artificial bowel sphincter. Twenty-two (3%) of 700 questionaires were returned.Conclusion:The majority of patients (82%) with FI can be treated conservatively. In a small portion of patients (1-2%) surgical treatments were used to avoid colostomy. Interest in FI within the medical community was low, although it is a benign and well manageable condition.

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