Stuhlinkontinenz: Operative Behandlung eines komplexen Problems

Abstract

Anal continence is maintained by the controlled synergism of all parts of the complex anal sphincter system and the normal functioning of the preposed gut. Operative treatment may improve the function of a single part of the system. In case of malfunction of more than one element of the anal sphincter, an operation may result in partial improvement. In these cases, additional conservative treatment is recommended. In a few cases, additional operations are needed. The indications for and results of the established operations for the treatment of anal incontinence will be discussed here.