Colorectal Diseases: Fecal Incontinence Flashcards
1
Q
Fecal incontinence is defined as
A
the continuous or recurrent uncontrolled passage
of fecal material (>10 mL) for at least 1 month in an individual > age 3.
2
Q
Dx and best initial test.
A
Fecal incontinence is diagnosed by clinical history combined with flexible sigmoidoscopy or anoscopy as the best initial test
3
Q
most accurate test
A
anorectal manometry. If there is a history of anatomic injury, then the best test is endorectal manometry.
4
Q
There are 3 forms of treatment for fecal incontinence:
A
medical therapy,
biofeedback, and surgery.
5
Q
medical therapy,
A
bulking agents such as fiber
6
Q
Biofeedback
A
control exercises and muscle strengthening exercises.
7
Q
Injection of _____ has been shown to decrease
incontinence episodes by ____
A
dextranomer/hyaluronic acid (Solesta)
50%.
