Fecal Incontinence: Causes and Treatment Options
Fecal incontinence, also known as the inability to control bowel movements, affects a significant number of individuals, with 50-75% of cases being reported. This condition often occurs when the rectum becomes prolapsed, extending beyond the anal sphincter. The anal sphincter is a group of muscles that play a crucial role in maintaining bowel control.
When the rectum protrudes beyond the anal sphincter, individuals may experience difficulty in controlling gas, liquid, or even substantial bowel movements. Fortunately, there are surgical interventions available to address this problem. Depending on the specific circumstances, either an abdominal operation or a perineal operation may be recommended.
Both types of surgery aim to prevent the recurrence of rectal prolapse and significantly enhance the individual’s quality of life. The choice of the surgical approach is influenced by various factors, including the patient’s age and the severity of the prolapse.
Urinary Incontinence and Rectal Prolapse
A significant number of patients, approximately 20 to 35%, who suffer from rectal prolapse may also experience urinary incontinence. In order to identify any additional issues caused by the prolapse, physicians often conduct tests. When a clear diagnosis of rectal prolapse cannot be made, a defecography may be recommended to uncover the underlying problem.
A defecography is a diagnostic test that involves the administration of an enema containing x-ray contrast. X-rays are then taken as the patient has a bowel movement. In some cases, the patient may also be required to consume the contrast solution or have it placed in the vagina. This test can help identify issues such as urinary incontinence and bulging into the vagina, providing valuable insights for accurate diagnosis and appropriate treatment.