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Previous Volume 356:1648-1655 April 19, 2007 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 53-year-old otherwise healthy woman presents with a 2-year history of intermittent fecal incontinence. Because of embarrassment, she has curtailed her social and professional activities. Physical activity often precipitates an episode, and she wears absorbent pads. She has occasional urinary incontinence when she coughs or sneezes. There is no history of gastrointestinal or rectal surgery and no neurologic symptoms. Physical examination reveals . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

            Diagnostic Testing

Management

            General Measures

            Medical and Pharmacologic Treatments

            Biofeedback

            Surgical Approaches

            Stimulation of the Sacral Nerve

Areas of Uncertainty

Guidelines

Summary and Recommendations

Source Information

From the University of Wisconsin School of Medicine and Public Health, Madison.

Address reprint requests to Dr. Wald at the Section of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, H6/516 CSC, 600 University Ave., Madison, WI 53792, or at axw@medicine.wisc.edu.

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