Faecal Incontinence

Refining and improving the assessment and treatment of faecal incontinence

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AbstractFaecal incontinence (FI) is a common symptom. There are a variety of invasive treatments available, however, the benign nature of this problem and the varying degrees of severity, mean that conservative management is usually pursued first. The aims of this thesis were to investigate: the current practice of continence advisors who deliver conservative management in …

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Early diagnosis and monitoring of OASIS to prevent and delay FI. Part 2/1. Mrs Bulchandani.

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This video presentation was given by Ms Bulchandani at the ESCP 2020. The aim was to inform the audience on how early diagnosis and monitoring obstetric anal sphincter injuries (OASIS) may prevent and delay faecal incontinence. Part 2/1. Mr Alex Leo Consultant General and Colorectal Surgery, Northwick Park and St Mark’s Hospital, London North West …

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Randomized Pilot Study: Anal Inserts Versus Percutaneous Tibial Nerve Stimulation in Patients With Fecal Incontinence

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Abstract Background Anal inserts and percutaneous tibial nerve stimulation may be offered to those with fecal incontinence in whom other conservative treatments have failed. Objective We aimed to compare anal inserts and percutaneous tibial nerve stimulation. Design This was an investigator-blinded randomized pilot study. Settings The study was conducted at a large tertiary care hospital. …

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Comparison between high-resolution water-perfused anorectal manometry and THD Anopress anal manometry: aprospective observational study

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Abstract Aim Anorectal physiology tests provide a functional assessment of the anal canal. The aim of this study was to compare the results generated by standard high-resolution water-perfused manometry (WPM) with the newer THD Anopress manometry system. Method This was a prospective observational study. Conventional manometry was carried out using a water-perfused catheter with high-resolution …

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The Renew® Anal Insert for Passive Faecal Incontinence: a retrospective audit of our use of a novel device.

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Abstract Introduction The Renew® Anal Insert is a recent treatment for patients who suffer from passive faecal incontinence (FI).  The aim was to assess the effectiveness of the insert and patient satisfaction. Method A retrospective audit of patients who were treated with the Renew® Anal Insert was undertaken. The St Mark’s Incontinence Score was used …

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Evaluation of the Portable THD® Anopress Device in Patients with Faecal Incontinence

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Abstract Background THD® Anopress has been promoted as a new portable anal manometer providing measurements of whole anal canal pressures. This study aims to report the anorectal function of patients suffering from Faecal Incontinence (FI) using this new device and the associated patient comfort. Methods We reviewed data from patients suffering from FI who had …

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Evaluation of 153 Asymptomatic Subjects Using the Anopress Portable Anal Manometry Device

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Abstract Background/Aims The Anopress device is a new portable manometry system. The aim of this study is to formulate normative data using this new device by recording the anorectal function of asymptomatic subjects. Patient comfort was also assessed. Methods Anorectal function was assessed in asymptomatic volunteers using the Anopress. All volunteers were examined in a …

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