THE INTERSTIM EVALUATION:

Fecal incontinence is a medical condition characterized by the involuntary loss of stool, leading to an inability to control bowel movements. This can range from occasional leakage to complete loss of control, significantly impacting a person's quality of life and emotional well-being. It may be caused by various factors, including muscle damage, nerve issues, or underlying health conditions. Treatment options vary depending on the severity and underlying causes, and can include lifestyle changes, medications, or surgical interventions to help restore bowel control and improve overall quality of life.

Treatment options for fecal incontinence vary based on its severity and underlying causes. They generally fall into three main categories.

Conservative treatments include dietary adjustments, such as increasing fiber intake to solidify stool, and implementing bowel training techniques to establish a regular schedule. Pelvic floor exercises, like Kegels, can strengthen the muscles involved in bowel control. Medications may also be prescribed to manage symptoms, such as anti-diarrheal drugs or stool bulkers. Non-surgical interventions can involve therapies such as biofeedback, which helps retrain the muscles and improve control by providing real-time information on muscle activity. Another option is sacral nerve stimulation, where a device is implanted to send electrical impulses to nerves controlling bowel function, aiding in the improvement of control. In more severe cases, surgical options might be considered. These can include procedures to repair or strengthen the anal sphincter, or more advanced techniques like the implantation of an artificial bowel sphincter or a colostomy, where a portion of the colon is diverted to an external bag. Surgical options are typically explored after conservative and non-surgical treatments have been evaluated.

Each treatment plan is tailored to the individual, aiming to restore bowel control and enhance quality of life.

Sacral neuromodulation involves implanting a small device, similar to a pacemaker, under the skin of the buttocks. This device sends electrical impulses to the sacral nerves near the tailbone, which control bowel and pelvic floor muscles. What makes sacral neuromodulation unique is its ability to effectively treat fecal incontinence that do not respond to other therapies. A trial phase precedes permanent implantation, during which the device is temporarily placed to assess its effectiveness in alleviating symptoms. This trial phase allows patients and doctors to determine if sacral neuromodulation is suitable and beneficial before committing to long-term treatment. It offers a reversible option with adjustable settings, providing personalized treatment for improved bowel control and quality of life.