English
Solutions in anal incontinence and recto vaginal fistulas surgery in Mukundapur

Solutions in Anal Incontinence and Recto Vaginal Fistulas Surgery

Solutions in anal incontinence and recto vaginal fistulas surgery in Mukundapur

Anal incontinence, commonly referred to as faecal incontinence, is the inability to control bowel motions, which causes involuntary stool leaking. It might be anything from a small gas leak to uncontrollably passing solid waste. Bowel control depends on the anal, rectal, and pelvic floor muscles working correctly, as well as on nerve coordination. Faecal incontinence is caused by many reasons, such as nerve injury and muscular weakness, necessitating a multidisciplinary approach to care and therapy.

A rectovaginal fistula is an irregular passageway that resembles a tunnel that connects the rectum and vagina, admitting gas and excrement. It results from injury to the vaginal tissue, which is frequently brought on by surgical operations, trauma, or difficult childbirths. This is a subtype of vaginal fistula that requires medical attention to close the abnormal opening and get the body back to normal. The goals of treatment are to reduce symptoms and enhance the patient's standard of living.

FAQ's

Urge and passive incontinence are the two categories of faecal incontinence. 

  • Urge incontinence, which is frequently caused by muscle-related problems, is the urgent urge to defecate without having enough time to go to the bathroom. This condition is commonly caused by issues with nerve-muscle communication. 

  • Passive bowel incontinence occurs when stool leaks from the rectum without warning, and you might not even realise it.

Making these distinctions is essential to customising successful treatment regimens that depend on the underlying reason and degree of symptoms. The recommended treatment modalities may involve exercises, dietary changes, medications, or surgery.

Faecal incontinence is extremely common; researchers estimate that 1 in 3 people have it; however, the true prevalence may be much higher. Despite being widely discussed, conversations on bowel habits and incontinence are still mostly kept confidential, which means that many affected people suffer in silence without getting support or assistance.

Open communication and recognition of the condition's impact on day-to-day living are sometimes impeded by the stigma associated with faecal incontinence. To improve people's quality of life and encourage them to seek proper medical care, more awareness and destigmatisation initiatives are essential.

Individual differences exist in the frequency and severity of faecal incontinence. While some people only encounter leaks during diarrheal episodes, others deal with persistent issues.

Stool leaks following gas passage or physical activity, feeling like you need to go to the bathroom but can't, finding faeces in your underwear after a bowel movement, and a total lack of control over your bowel movements are common symptoms. For faecal incontinence to be diagnosed and treated appropriately, it is essential to recognise these signs.

Constipation, diarrhoea, muscle or nerve damage, previous operations, and pelvic organ prolapse (POP) are among the common causes of faecal incontinence. Over time, diarrhoea weakens the anal and rectal muscles, which makes it difficult to retain faeces.

Because constipation causes strain during bowel motions, it can cause nerve damage and muscular weakness over time. Anal/rectal procedures and difficult vaginal deliveries can cause muscle and nerve damage. Scarring from diseases like Crohn's disease and Radiation Therapy can reduce rectal flexibility and result in incontinence. Faecal incontinence can also be caused by pelvic organ prolapse, such as rectal prolapse and rectocele, which weaken the pelvic floor.

Trauma to the vaginal tissue can result in rectovaginal fistulas, which are aberrant passageways between the vagina and the rectum. These might appear suddenly in a matter of days or more slowly over years, with typical causes including pelvic radiation therapy, inflammatory bowel disorders, pelvic malignancies, surgeries, and childbirth-related events.

Rectal fistulas have a major impact on quality of life and necessitate medical intervention for repair and symptom management, even though congenital occurrences are uncommon.

A complete physical examination and pelvic examination, as well as questions regarding symptoms, are part of the diagnostic evaluation process for rectovaginal fistulas. Additional tests include a full blood count and urinalysis to screen for infections, a dye test to identify leaks between the vagina and the rectum, an X-ray fistulogram to determine the number and size of fistulas, pelvic MRI or CT scans to image the affected areas in detail, a flexible sigmoidoscopy to view the rectum and lower colon, and a colonoscopy to examine the entire large intestine. These examinations support precise rectovaginal fistula diagnosis and therapy planning.

Medication to control inflammatory bowel disease (IBD) or antibiotics for infections may be part of the treatment for rectovaginal fistulas. Small fistulas may heal on their own, but most need to be surgically closed, frequently with tissue grafts. After surgery, most patients recover completely.

When a big fistula occurs, it may be necessary to temporarily alter the bowel pathway in the affected area using a Colostomy. Once the fistula has healed, further surgery will be required to rejoin the intestine and close the stoma. During this transitional period, regular stoma care is necessary.

Home Mukundapur Specialities Organ-transplant Solutions-in-anal-incontinence-and-recto-vaginal-fistulas-surgery

Appointment
Health Check
Contact Us
review icon
Review Us
Call Us