Neurologic Fecal Incontinence

被引:8
作者
Wyndaele, J. J. [1 ,2 ]
Kovindha, A. [3 ]
Igawa, Y. [4 ]
Madersbacher, H. [5 ]
Radziszewski, P. [6 ]
Ruffion, A. [7 ]
Schurch, B. [8 ]
Castro, D. [9 ]
Sakakibara, R.
Wein, A. [10 ]
机构
[1] Univ Antwerp, Edegem, Belgium
[2] Univ Antwerp Hosp, Edegem, Belgium
[3] Chiang Mai Univ, Chiangmai, Thailand
[4] Shinshu Univ, Matsumoto, Nagano 390, Japan
[5] Neurol Unit, Innsbruck, Austria
[6] Univ Warsaw, Warsaw, Poland
[7] CHU Lyon, Lyon, France
[8] Univ Clin Balgrist, Zurich, Switzerland
[9] Univ Tenerife, Tenerife, Spain
[10] Univ Penn, Philadelphia, PA 19104 USA
关键词
bowel; incontinence; levels of evidence; neurologic; recommendations; ANTEGRADE CONTINENCE ENEMA; ARTIFICIAL ANAL-SPHINCTER; SACRAL NERVE-STIMULATION; NEUROGENIC BOWEL-DISEASE; DYNAMIC GRACILOPLASTY; COLONIC ENEMA; SINGLE INSTITUTION; SPINA-BIFIDA; MALONE; MANAGEMENT;
D O I
10.1002/nau.20853
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: This manuscript summarizes the work of Committee 10 on neurologic bladder and bowel of the International Consultation on Incontinence in 2008-2009. As the data are very large the outcome is presented in different manuscripts. This manuscript deals with neurologic fecal incontinence (FI). Methods: Through in debt literature review all aspects of neurologic urinary and FI were studied for levels of evidence. Recommendations for diagnosis and treatment, and for future research were made. Results: Pathophysiology was summarized for different levels of lesions. For epidemiology, specific diagnostics, conservative treatment, and surgical treatment of neurologic FI levels of evidence and grades of recommendation were made. Conclusions: Though data are available that advice and guide in the management of FI in neurologic patients, not many data are with a high level of evidence or high grade of recommendation. More and well-structured research is needed. Neurourol. Urodynam. 29:207-212, 2010. (C) 2009 Wiley-Liss, Inc.
引用
收藏
页码:207 / 212
页数:6
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