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Therapy for faecal incontinence

There are things we all prefer to do behind closed doors. This is why people with incontinence problems suffer particularly from the seemingly uncontrollable impairment of their everyday and social life. But: in most cases incontinence can be significantly improved!

Faecal incontinence is the inability to actively control or restrain defecation. It is divided into three degrees.

The causes of faecal incontinence are manifold. A distinction is made between muscular incontinence, where the cause is direct damage to the sphincter muscle, and neurogen-sensory incontinence, where the sphincter muscle is intact. In this case, there is an indirect cause such as a pelvic floor prolapse or a rectal prolapse. Incontinence can also occur as a result of an operation or tumour disease.

As a rule, we first carry out a conservative therapy with the aim of regulating digestion and strengthening the pelvic floor muscles. Concomitant physiotherapy and nutritional advice are used. Regular self-exercises and a healthy diet usually help to get the problem under control.

The next step is the application of threshold current to strengthen the support structures of the pelvic floor. In most cases, we can achieve a significant improvement or even cure faecal incontinence with these therapies. In rare cases, surgical therapy is necessary.

Nowadays, sacral nerve stimulation (SNS) is an excellent procedure. In a small procedure, we place electrodes at the exit points of the nerves above the sacrum to regulate the rectum. A small pacemaker then regulates continence.

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