Abstract

Diagnosis and treatment of faecal incontinence: Consensus statement of the Italian Society of Colorectal Surgery and the Italian Association of Hospital Gastroenterologists

Italian Society of Colorectal Surgery (SICCR), Pucciani F1, Altomare DF2, Dodi G3, Falletto E4, Frasson A5, Giani I6, Martellucci J7, Naldini G6, Piloni V8, Sciaudone G9; Italian Association of Hospital Gastroenterologists (AIGO), Bove A10, Bocchini R11, Bellini M12, Alduini P13, Battaglia E14, Galeazzi F15, Rossitti P16, Usai Satta P17. Dig Liver Dis. 2015 Apr 9. pii: S1590-8658(15)00272-8. doi: 10.1016/j.dld.2015.03.028. [Epub ahead of print]
 
     
Author information

1Department of Surgery and Translational Medicine, University of Florence, Italy. Electronic address: pucciani@unifi.it. 2Department of Emergency and Organ Transplantation, University of Bari, Italy. 3Department of Surgery, Oncology and Gastroenterology, University of Padova, Italy. 4I Division of Surgical Sciences, Città della Salute e della Scienza Hospital, University of Turin, Italy. 5Department of Surgery, Oncology and Gastroenterology, University of Padua, Italy. 6Proctological and Perineal Surgical Unit, University Hospital of Pisa, Italy. 7General, Emergency and Minimally Invasive Surgery, Careggi University Hospital, Florence, Italy. 8Diagnostic Imaging Centre, Villa Igea Clinic, Ancona, Italy. 9General and Geriatric Surgery Unit, School of Medicine, Second University of Naples, Italy. 10Gastroenterology and Endoscopy Unit, Department of Gastroenterology - AORN "A. Cardarelli", Naples, Italy. 11Gastrointestinal Physiopathology, Gastroenterology Department, Malatesta Novello Private Hospital, Cesena, Italy. 12Gastrointestinal Unit, Department of Gastroenterology, University of Pisa, Italy. 13Digestive Endoscopy Unit, San Luca Hospital, Lucca, Italy. 14Gastroenterology and Endoscopy Unit, Cardinal Massaia Hospital, Asti, Italy. 15Gastroenterology Unit, Padua University-Hospital, Padua, Italy. 16Gastroenterology Unit, S.M. della Misericordia University Hospital, Udine, Italy. 17Gastroenterology Unit, Brotzu Hospital, Cagliari, Italy.

Abstract

Faecal incontinence is a common and disturbing condition, which leads to impaired quality of life and huge social and economic costs. Although recent studies have identified novel diagnostic modalities and therapeutic options, the best diagnostic and therapeutic approach is not yet completely known and shared among experts in this field. The Italian Society of Colorectal Surgery and the Italian Association of Hospital Gastroenterologists selected a pool of experts to constitute a joint committee on the basis of their experience in treating pelvic floor disorders. The aim was to develop a position paper on the diagnostic and therapeutic aspects of faecal incontinence, to provide practical recommendations for a cost-effective diagnostic work-up and a tailored treatment strategy. The recommendations were defined and graded on the basis of levels of evidence in accordance with the criteria of the Oxford Centre for Evidence-Based Medicine, and were based on currently published scientific evidence. Each statement was drafted through constant communication and evaluation conducted both online and during face-to-face working meetings. A brief recommendation at the end of each paragraph allows clinicians to find concise responses to each diagnostic and therapeutic issue.

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