Talal Almalki
King Faisal Medical Complex Taif, Saudi Arabia
Title: Fecal incontinence post imperforate anus anomalies repair: Medical and surgical management protocol
Biography
Biography: Talal Almalki
Abstract
Introduction: Fecal incontinence is a misfortunate condition affecting children. It is associated with dramatic behavioral and personality changes. Management includes dietary modification, medical treatment, behavioral therapy and surgery.
Aim: To establish a protocol for management of fecal incontinence in children after repair of high imperforate anus. Patients & Method: Thirty-nine (39) cases were recruited; 14 of them were operated (dynamic graciloplasty) from the start
according to the input of history, examination and investigations. The remaining 25 patients were treated medically. Those cases who failed the medical treatment had alternatively biofeedback therapy. Cases failed to respond on biofeedback therapy
were operated.
Results: Response to medical treatment is favorable (71%). Biofeedback showed discouraging results (22%). Dynamics graciloplasty showed excellent outcome (100% improvement in continence on long term follow up).
Conclusion: Based on history, examination and investigations, recruited cases were primarily treated medically; those who had failed the medical treatment approach had dynamic graciloplasty, which demonstrated excellent long term results.