Integrative medicine for fecal incontinence: reflections on eastern and western experiences

Abstract

Fecal incontinence has emerged as a global health concern. This article explores an integrative medical model for fecal incontinence by illustrating its conceptual framework and scope, drawing from multidisciplinary consensus and guidelines developed over the past three decades, both internationally and through personal reflection. This integrative medical model is patient-centered, emphasizes the patient's role in treatment decision-making, and recognizes the value of patient-reported outcomes measure. The incorporation of multidisciplinary assessment tools such as the IMPACT scale promises to enhance the standards of clinical practice and research. Furthermore, learning from international guidelines provides insights into interdisciplinary forces, including acupuncture, to formulate consensus guidelines that align with the unique healthcare landscape in China.