2025 AUGS Clinical Meeting-Stop the Leakage and Unplug the Clog Non-Surgical Management of FI and Constipation

Video Transcription

Video Summary

The video addresses two common gastrointestinal issues: fecal incontinence (FI) and constipation, emphasizing the need for balanced treatment to avoid over-correction from one condition to the other. Key topics include understanding the anatomy and physiology of continence and diagnostic evaluations. FI is described as the involuntary passage of stool, differentiated into types like urge, passive, and stress incontinence, with prevalence rates varying by age and study methods. Treatments focus on maintaining stool form and rectal emptying.<br /><br />Constipation, defined by infrequent or difficult defecation, also requires a clear understanding of normal bowel habits. The video outlines normal colonic motility and the physiology of defecation, presenting prevalence data and different types of constipation, such as slow transit and normal transit constipation. Risk factors include age, gender, dietary habits, and medication use.<br /><br />Both conditions require a comprehensive initial evaluation and empirically-based treatments, integrating dietary changes, pharmacotherapy, and sometimes biofeedback. Testing and advanced interventions are considered for refractory cases. The talk underscores the importance of evidence-based approaches and the potential need for referrals to specialists in complicated cases.

Asset Subtitle

Accidental Bowel Leakage (FI) is one of the most devastating pelvic floor your patients may face. This lecture will cover effective office treatments for FI, as well teach you how to deal with defiant cases of constipation.

Speaker - Holly E. Richter, PhD, MD, FACOG, FACS

Keywords

fecal incontinence

constipation

gastrointestinal issues

diagnostic evaluations

treatment strategies

colonic motility

biofeedback

evidence-based approaches