Functional Faecal Incontinence in Children

Faecal incontinence and functional constipation

There are grossly four elements to help control faecal continence: 1. Plug function Internal anal sphincter (IAS) plays a major role in acting as a plug at the final end of our gastrointestinal tract. It is innervated by our autonomous nervous system. External anal sphincter (EAS), puborectalis sling plus other pelvic floor muscle and haemorrhoidal cushings at anal canal also contribute. 2. Sto...

Functional Fecal Incontinence in Children

Fecal incontinence is defined as the passage of stools in an inappropriate place. This frustrating symptom is a source of considerable distress and embarrassment for the child and his/her family. Pediatric fecal incontinence can be divided into 2 main categories: (1) organic fecal incontinence, e.g., resulting from anorectal malformations or neurogenic abnormalities, and (2) functional fecal in...

Anal endosonography in faecal incontinence.

Faecal incontinence in myotonic dystrophy.

Two siblings with myotonic dystrophy presented for treatment of faecal incontinence. The pathophysiology of this functional disorder is described with the results of anorectal manometry, EMG, and biopsy of smooth and striated muscle of the anorectal sphincters. Both medical and surgical management of the incontinence was unsatisfactory in the long term. Involvement of gastrointestinal musculatu...

Surgery for Faecal Incontinence