Abstract

Physiologic assessment is most frequently performed in patients presenting with feral incontinence (FI). Fecal incontinence (FI) is a relatively common problem. It is the involuntary loss of flatus and feces. The overall reported prevalence of FI in females is approximately 20%; in males it is not as well defined. A careful history usually will help define the risk factors associated with FI. These include obstetric injury, previous anorectal surgery, inflammatory bowel disease, pelvic radiation therapy, diabetes, and neurologic diseases. Diagnostic modalities employed in physiologic assessment include anal manometry, endoanal/endorectal ultrasound, balloon compliance testing, and pudendal nerve terminal motor latency.

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