Anal incontinence

What Will I Learn?
  • 1. Understand the functional anatomy and pathophysiology related to anal incontinence.
  • 2. Discuss and understand the biological rationale of physiotherapy for anal incontinence, their prognostics for success or failure.
  • 3. Insight and knowledge of the current level of evidence for physiotherapy for anal incontinence and its place in the algorithm of treatment options.

Curriculum for this course
01:25:16 Hours
Webinar
  • Anal Incontinence 01:25:16
  • Webinar Pdf
  • Bartlett, 2015, Supplementary Home Biofeedback Improves Quality of Life in Younger Patients With Fecal Incontinence
  • Berghmans, 2015, Dutch evidence statement for pelvic physical therapy in patients with anal incontinence
  • Berghmans, 2014, Dutch evidence statement for pelvic physical therapy in patients with anal incontinence
  • Bols, 2010, A systematic review of etiological factors for postpartum fecal incontinence
  • Bols, 2012, Predictors of a Favorable Outcome of Physiotherapy in Fecal Incontinence: Secondary Analysis of a Randomized Trial
  • Bols, 2007, A randomized physiotherapy trial in patients with fecal incontinence: design of the PhysioFIT-study
  • Bols, 2008, Physiotherapy and surgery in fecal incontinence: an overview
  • Bols, 2010, A systematic review of etiological factors for postpartum fecal incontinence
  • Bols, 2013, KNGF Evidence Statement Anale incontinentie
  • Bols, 2013, KNGF Evidence Statement Anal incontinence
  • Bols, 2013, Responsiveness and interpretability of incontinence severity scores and FIQL in patients with fecal incontinence: a secondary analysis from a randomized controlled trial
  • Bols, 2012, KNGF Evidence Statement Anal incontinence
  • Bouguen, 2014, Effects of transcutaneous tibial nerve stimulation on anorectal physiology in fecal incontinence: a double-blind placebo-controlled cross-over evaluation
  • Boyle, 2012, Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women (Review)
  • Cohen, 2015, Home electrical stimulation for women with fecal incontinence: a preliminary randomized controlled trial
  • Damon, 2014, Perineal retraining improves conservative treatment for faecal incontinence: A multicentre randomized study
  • Dehli, 2013, Sphincter training or anal injections of dextranomer for treatment of anal incontinence: a randomized trial
  • Dobbe, 2006, Functional changes after physiotherapy in fecal incontinence
  • George, 2013, Randomized controlled trial of percutaneous versus transcutaneous posterior tibial nerve stimulation in faecal incontinence
  • Glazener, 2014, Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes: randomised controlled trial
  • Heitmann, 2019, Relationships between the results of anorectal investigations and symptom severity in patients with faecal incontinence
  • Hosker, 2007, Electrical stimulation for faecal incontinence in adults (Review)
  • Jelovsek, 2015, Controlling anal incontinence in women by performing anal exercises with biofeedback or loperamide (CAPABLe) trial: Design and methods
  • Johannessen, 2018, Prevalence and predictors of double incontinence 1 year after first delivery
  • Knowles, 2015, Percutaneous tibial nerve stimulation versus sham electrical stimulation for the treatment of faecal incontinence in adults (CONFIDeNT): a double-blind, multicentre, pragmatic, parallel-group, randomised controlled trial
  • Kuo, 2015, Improvement of Fecal Incontinence and Quality of Life by Electrical Stimulation and Biofeedback for Patients With Low Rectal Cancer After Intersphincteric Resection
  • Lehto, 2014, Anal incontinence: long-term alterations in the incidence and healthcare usage
  • Leroi, 2012, Transcutaneous Electrical Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Randomized Trial (Consort 1a)
  • Liang, 2015, Therapeutic Evaluation of Biofeedback Therapy in the Treatment of Anterior Resection Syndrome After Sphincter-Saving Surgery for Rectal Cancer
  • Lin, 2015, Effects of pelvic floor muscle exercise on faecal incontinence in rectal cancer patients after stoma closure
  • Lin, 2016, Effects of pelvic floor muscle exercise on faecal incontinence in rectal cancer patients after stoma closure
  • Narayanan, 2019, A Practical Guide to Biofeedback Therapy for Pelvic Floor Disorders
  • Norton, 2003, Randomized Controlled Trial of Biofeedback for Fecal Incontinence
  • Norton, 2012, Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults (Review)
  • Peirce, 2013, Randomised controlled trial comparing early home biofeedback physiotherapy with pelvic floor exercises for the treatment of third-degree tears (EBAPT Trial)
  • Rao, 2015, ANMS-ESNM position paper and consensus guidelines on biofeedback therapy for anorectal disorders
  • Riemersma, 2017, Can incontinence be cured? A systematic review of cure rates
  • Rimmer, 2015, Short-term Outcomes of a Randomized Pilot Trial of 2 Treatment Regimens of Transcutaneous Tibial Nerve Stimulation for Fecal Incontinence
  • Rommen, 2012, Prevalence of anal incontinence among Norwegian women: a cross-sectional study
  • Ruiz, 2017, Fecal incontinence - Challenges and solutions
  • Schwandner, 2011, Triple-Target Treatment Versus Low-Frequency Electrostimulation for Anal Incontinence
  • Scott, 2014, Pelvic Floor Rehabilitation in the Treatment of Fecal Incontinence
  • Sjodahl, 2014, Combination therapy with biofeedback, loperamide, and stool-bulking agents is effective for the treatment of fecal incontinence in women – a randomized controlled trial
  • Sjodahl, 2015, Combination therapy with biofeedback, loperamide, and stool-bulking agents is effective for the treatment of fecal incontinence in women – a randomized controlled trial
  • Sultan, 2016, An International Urogynecological Association (IUGA)/ International Continence Society (ICS) Joint Report on the Terminology for Female Anorectal Dysfunction
  • Terra, 2006, Electrical Stimulation and Pelvic Floor Muscle Training With Biofeedback in Patients With Fecal Incontinence: A Cohort Study of 281 Patients
  • Terra, 2008, Can the outcome of pelvic-floor rehabilitation in patients with fecal incontinence be predicted?
  • Tieppo, 2009, Anal pressure in experimental diabetes
  • Ussing, 2019, Efficacy of Supervised Pelvic Floor Muscle Training and Biofeedback vs Attention-Control Treatment in Adults With Fecal Incontinence
  • vanderhagen, 2012, A prospective non-randomized two-centre study of patients with passive faecal incontinence after birth trauma and patients with soiling after anal surgery, treated by elastomer implants versus rectal irrigation
  • vanKoughnett, 2013, Current management of fecal incontinence: Choosing amongst treatment options to optimize outcomes
  • Visser, 2014, Pelvic Floor Rehabilitation to Improve Functional Outcome After a Low Anterior Resection: A Systematic Review
  • Vonthein, 2013, Electrical stimulation and biofeedback for the treatment of fecal incontinence: a systematic review
  • Wexner, 2015, Percutaneous tibial nerve stimulation in faecal incontinence
  • Yuaso, 2017, Female double incontinence prevalence, incidence, and risk factors from the SABE (Health, Wellbeing and Aging) study
Requirements
  • Requirements Suggested level: minimal basic knowledge advised
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Description

 Anal incontinence (AI) as a symptom of anorectal dysfunction can be defined as the complaint of involuntary loss of faeces  or flatus  AI covers a wide spectrum including involuntary but recognized passage liquid or solid stool (urgency incontinence), loss of flatus (flatus incontinence), unrecognized anal leakage of mucus, fluid or stool (passive incontinence), seepage of stool due to faecal impaction (overflow fecal incontinence), compliance of both anal incontinence and urinary incontinence (double incontinence). Anal continence is based on a combined interplay of faeces consistency, sensory, motor, reservoir functions and mental components. Incontinence occurs if one or more of these components fail and when compensatory mechanisms fall short.

Treatment of patients with AI consists of conservative as well as surgical interventions. Conservative interventions incorporate lifestyle interventions like dietary adaptations, medication, bowel management, smoking behaviour, absorbent materials and physiotherapy. This webinar will provide insight information and knowledge about the anatomy of the pelvic floor, pathophysiology of AI, biological rationale for AI treatment, assessment and treatment modalities of physiotherapy and relevant scientific evidence.

Online Q&A: free session every two months, the first Monday of the month at 18 hrs. CE


€49
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Includes:
  • 01:25:16 Hours On demand videos
  • Access on mobile and tv
  • Full lifetime access