Version May 2024
| Obtain history |
| Is the patient truly incontinent or does patient have frequency and urgency without incontinence? |
| How long have symptoms been present? |
| Does the patient have minor or major incontinence? |
| Does the patient have urgency? |
| Could the patient be impacted? |
| Is there a background history of diarrhea? Could medications be contributing? |
| Does the patient have a prior history of vaginal delivery or anorectal surgery? |
| Does the patient have a history of prior pelvic irradiation? |
| Does the patient have a neurological disturbance? |
| Does the patient have diabetes mellitus? |
| Perform physical examination |
| Examine the external anoderm |
| Test for an anal wink bilaterally |
| Inspect for prolapsing hemorrhoids or other obvious pathology |
| Perform a digital examination while asking the patient to bear down and to squeeze |
| Obtain specific anorectal testing |
| Lower endoscopy in most patients |
| Specific testing for patients with diarrhea |
| Endorectal ultrasonography in patients with suspected sphincter disruption |
| Anorectal manometry in patients with structurally intact sphincters |
| Specific treatment |
| Medical therapy and/or biofeedback for motivated patients who have intact sphincters and manometry showing preserved rectal sensation |
| Surgical repair for patients with mechanical sphincter disruption in whom medical therapy is unsuccessful |
| Other sphincter restoring procedures in patients with major incontinence in centers with available expertise |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
