Becoming Continent, Staying Continent

Only one in ten patients with incontinence goes to a doctor about it. In most cases behavioural techniques and "toilet training" are sufficient to deal with the problem.21/11/2008

Incontinence is more common
in women.
Foto:Lerich©www.fotolia.de

Operations and nerve stimulation for difficult cases

There are also surgical procedures for incontinence in which the pelvic floor muscles are tightened and the pelvic floor raised. Other special techniques are used to improve the functioning of the sphincter muscle. Gracilis muscle transplantation is a major surgical procedure in which the surgeons support or replace the sphincter by inserting a piece of muscle from the thigh. A relatively new procedure known as sacral nerve stimulation is simpler. This involves implantation of a kind of pacemaker which stimulates the nerves of the pelvic floor and the sphincter muscle. "Experts believe that sacral nerve stimulation will be the procedure of the future for urinary and faecal incontinence," says Frieling. The expert recommends that in difficult cases patients should go to a certified incontinence centre.

Event324
Becoming Continent ...
In German

Freitag 21.11.08
14.30 bis 17.30 Uhr
CCD-Süd, Raum 7a
Leitung: Professor Günter H. Willital, Münster, Professor Thomas Frieling, Krefeld

Quelle: Ärzte Zeitung
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