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2018 | Harninkontinenz | OriginalPaper | Buchkapitel

8. Anorektale Inkontinenz

verfasst von : Dr. med. A. Ommer, A. Köwing, Prof. Dr. med. J. Girona, Dr. med. B. H. Mölle, Dr. med. J. L. Narro, Prof. Dr. med. A. Shafik

Erschienen in: Chirurgische Proktologie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die Stuhlinkontinenz stellt insbesondere vor dem Hintergrund der alternden Bevölkerungen eine Herausforderung für die proktologische Praxis dar. Kontinenzstörungen resultieren aus einer Vielzahl von Schädigungen des Kontinenzapparates und können nicht auf den Sphinkter reduziert werden. Eine umfangreiche Anamnese und eine einfache klinische Untersuchung ist in den meisten Fällen zur Diagnostik ausreichend. Entscheidender Faktor für die Behandlung ist die subjektive Beeinträchtigung durch Kontinenzstörungen. Die Behandlung ist in erster Linie konservativ durch Stuhlgangsregulation und Sphinktertraining. Bei der absoluten Mehrzahl der Patienten können dadurch subjektiv zufrieden stellende Ergebnisse erzielt werden. Die derzeit bekannten Operationsverfahren sind z. T. sehr invasiv und kostenträchtig. Sie können bei ausgeprägter Inkontinenz die Lebensqualität der Betroffenen deutlich verbessern, aber nur bei einem kleinen Anteil Betroffener eine komplette Kontinenzwiederherstellung garantieren.

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Titel: Anorektale Inkontinenz
verfasst von: Dr. med. A. Ommer
A. Köwing
Prof. Dr. med. J. Girona
Dr. med. B. H. Mölle
Dr. med. J. L. Narro
Prof. Dr. med. A. Shafik
Verlag: Springer Berlin Heidelberg
Buch: Chirurgische Proktologie
Print ISBN: 978-3-662-54681-9

Electronic ISBN: 978-3-662-54682-6

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-54682-6_8

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Update Chirurgie

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“