First published in 1994: Colorectal Physiology reviews recent findings in fecal incontinence, which is becoming a greater concern to physicians and surgeons as our population grows older and becomes better educated. International experts in anorectal physiology and management of incontinence present their personal views and specific clinical experiences on topics such as causes, diagnostic testing, and modes of treatment. The contributors also examine theoretical and practical aspects of current opinion. This book is a useful reference for researchers, colon and rectal surgeons, physicians, and students interested in understanding and managing fecal incontinence.
1 Introduction. 2.1 Pelvic Floor Musculature. 2.2 Anatomy of the Rectum and Anus. 2.3 Composition of Resting Pressure. 2.4 Mechanisms of Continence and Defecation. 3.1 Epidemiology of Fecal Incontinence. 3.2 Effect of Aging on Anorectal Function. 3.3 Effects on Childbirth. 4.1 Congenital Etiology. 4.2 Pelvic Floor Denervation. 4.3 Obstetric Anal Sphincter Tear. 4.4 Iatrogenic Fecal Incontinence. 4.5 Trauma. Chapter 4.6 Radiation Injury. 4.7 Incontinence and Normal Sphincter Function. 5.0 Related Disorders. 6.1 Patient History. 6.2 Soiling. 7.0 Fecal Incontinence, Physical Examination. 8.1 Anal Manometry. 8.3 Anorectal Sensation. 8.4 The Role of Evacuation Proctography (Defecography) in the Evaluation of Fecal Incontinence. 8.5 Measurement of Rectal Compliance. 8.6 Electromyography and Nerve Conduction Studies of the Anal Sphincter. 9.1 Conservative Treatment of Fecal Incontinence. 9.2 Electrostimulation. 9.3 Biofeedback Treatment for Fecal Incontinence. 9.4 Anal Encirclement. 9.5 Anterior Sphincteroplasty for Fecal Incontinence. 9.6 Postanal Repair. 9.7 Physiological Evaluation of Outcome Following Postanal Surgery. 9.8 Effect of Rectopexy. 9.9 Treatments of Anorectal Malformations. 9.10 Other Muscle Problems. 9.11 Colostomy for Fecal Incontinence. 9.12 Sphincter Repair in Crohn's Disease. 9.13 Neurostimulation. 9.14 The Dynamic Gracilis Procedure. 9.15 The Artificial Sphincter. 9.16 Internal Sphincter Substitutes. 9.17 Free Transplantation of Striated Muscle. Index.