University Antwerp and Antwerp University Hospital, Edegem, Belgium.
Neurourol Urodyn. 2010;29(1):207-12. doi: 10.1002/nau.20853.
This manuscript summarizes the work of Committee 10 on neurologic bladder and bowel of the International Consultation on Incontinence in 2008-2009. As the data are very large the outcome is presented in different manuscripts. This manuscript deals with neurologic fecal incontinence (FI).
Through in debt literature review all aspects of neurologic urinary and FI were studied for levels of evidence. Recommendations for diagnosis and treatment, and for future research were made.
Pathophysiology was summarized for different levels of lesions. For epidemiology, specific diagnostics, conservative treatment, and surgical treatment of neurologic FI levels of evidence and grades of recommendation were made.
Though data are available that advice and guide in the management of FI in neurologic patients, not many data are with a high level of evidence or high grade of recommendation. More and well-structured research is needed.
本文总结了国际尿控协会 2008-2009 年神经泌尿学和肠学委员会 10 组的工作。由于数据庞大,结果在不同的论文中呈现。本文涉及神经源性粪便失禁(FI)。
通过深入的文献回顾,研究了神经源性尿失禁和 FI 的各个方面,以确定证据水平。对诊断和治疗以及未来研究提出了建议。
总结了不同病变程度的病理生理学。针对流行病学、特定诊断、保守治疗和神经源性 FI 的手术治疗,提出了证据水平和推荐等级。
尽管有数据可以为神经源性 FI 患者的管理提供建议和指导,但只有少数数据具有较高的证据水平或较高的推荐等级。需要更多且结构良好的研究。