Surgical Options for Faecal Incontinence

Surgical Options 

Some people may require surgery to correct the underlying problem. Surgical options include : 

Sphincteroplasty : This is surgery to repair a damaged or weakened anal sphincter. In this procedure the injured muscle is identified and its edges are stretched and sewn together in an overlapping fashion. This strengthens the muscle, tightening the sphincter. 

Sphincter replacement : Artificial and sphincters are now available that can be used to replace a damaged anal sphincter. Artificial and sphincter consists of an inflatable cuff. When inflated, the device keeps the anal sphincter closed. Before defecation the cuff is deflated so that the sphincter opens and stool can be passed.

Gracilis muscle sling : Gracilis muscle is taken from the inner thigh and wrapped around the sphincter to restore its muscle tone. 

Colostomy : A colostomy is an opening in the abdomen that allows the stool to pass through it. A colostomy bag is attached to the opening to collect the stool. The bag can be emptied daily. 

Sacral nerve stimulation : Sacral nerve regulates the strength of the rectal and anal sphincter muscles. Therefore, in cases of sacral nerve damage, electrical stimulation of this nerve is helpful in controlling faecal incontinence. 

Self-care

Lifestyle changes are an important aspect of management of faecal incontinence. Dietary adjustments are the most important lifestyle changes. Some of the dietary adjustments that should be made are : 

Consume several smaller meals: Several small meals should be consumed, because large meals can stimulate bowel contractions. 

Increase fibre in diet: Fibre makes stool soft and well formed. Fibre is present in fruits, vegetables, and whole grains and cereals. Increase the amount of fibre slowly as rapid increase of fibre can cause gas, bloating and even diarrhoea. 

Drink more water : To keep stools soft and formed, drink at least eight glasses of water per day. 

Keep a list of what you eat : There may be a connection between certain foods and bouts of incontinence. Keeping a record of foods consumed can help you to identify which foods are causing diarrhoea. Foods that can cause diarrhoea and worsen faecal incontinence include spicy foods, fatty and greasy foods, smoked meat, and dairy products. Caffeine - containing beverages and alcohol also can act as laxatives, as can products such as sugar-free gum and diet soda, which contain artificial sweeteners 

Take Care of Skin around Anus

To relieve anal discomfort and eliminate any possible odour associated with faecal incontinence : 

• Gently wash the area with water after each bowel movement 
  Allow the area to air dry after washing or gently pat the area dry with toilet paper. 
  Barrier creams are available that prevent the skin from having direct contact with faeces. 
  Wear cotton underwear and loose clothing. Tight clothing can restrict airflow, making skin problems worse. Change soiled underwear quickly. 

While traveling or going out observe the following precautions : 

1. Use the toilet right before you go out. 

2. Wear a pad or a disposable undergarment. 

3. Carry paper napkins and extra underwear. 

4. Find out where the toilets are, so that you can get to 

them quickly. 

Faecal Incontinence
Causes, Signs and Symptoms for Faecal Incontinence
Diagnosis of Faecal Incontinence
Surgical Options for Faecal Incontinence