FECAL INCONTINENCE - CRITICAL-STUDY OF SURGICAL-TREATMENT

Two million French people aged over 45 are thought to suffer from faec al incontinence. The most frequent anatomical or functional causes of this disability are: idiopathic incontinence of falling down perineum due to denervation of its striated muscle; some neurological diseases ; rupture or destruction of the sphincter due to traumatic, iatrogenic or obstetrical causes; complete rectal prolapse. Each of these situat ions has its medico-surgical solution (post-anal repair, sphincterorrh aphy, rectopexy, Delorme's operation, myoplasty, artificial sphincter) , always bearing in mind that the fundamental aim is to correct the ha ndicap and restore a good quality continence.