Abstract
Marilyne Lange and Cornelis van de Velde discuss the differential diagnosis and management of incontinence after rectal cancer treatment.
Highlights
During a control check-up after rectal cancer treatment, a 67-year-old woman reported experiencing frequent bowel movements
Long-term urinary incontinence develops in almost one third of patients, and combined urinary and faecal incontinence occurs in 14% of patients with normal pre-operative function [3,4]
Patients with a small neorectum after resection of a low-lying tumour, as was the case in the present patient, are at increased risk for faecal incontinence. In this patient’s case, rectal cancer resection was preceded by pelvic radiotherapy, which is known to increase the risk of faecal incontinence [8]
Summary
During a control check-up after rectal cancer treatment, a 67-year-old woman reported experiencing frequent bowel movements. The woman had no previous medical history On questioning, she reported having suffered from rectal urgency symptoms ever since the colostomy was reversed. She reported having suffered from rectal urgency symptoms ever since the colostomy was reversed These symptoms were quite acceptable, especially because she assumed them to be temporary. They became worse over time, and urgency developed into involuntary stool leakage, requiring her to wear a protective pad constantly. She indicated that she experienced urine loss, especially during coughing, laughing, or lifting. She stated that voiding and defecation were fully normal before her treatment for rectal cancer
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