Anus (breech) is a very important organ of the body. It ensures that the residues formed as a result of the processing of the food taken orally and the swallowed air in the intestines are thrown out of the body in a controlled manner. Disturbances in this control lead to the inability to control stool and gas as desired, that is, incontinence.
What Causes Anal Incontinence?
Stool and gas incontinence occur most frequently after traumas. The most common of these traumas is birth trauma. First birth for women is a practice that should be very careful. If the episiotomy incision, which is popularly defined as "stitched", is not made during normal delivery, tears may occur in the perineum (between the crotch).
As these tears will often involve the muscles surrounding the anus, there is a risk of stool and gas incontinence even if they are repaired. In addition, in births without proper assistance, tears may occur inside, even if there is no tear on the outside. Nerves controlling the anus can be stretched and become dysfunctional.
Anal fissure, hemorrhoid and fistula surgeries can also cause stool and gas incontinence at certain rates. As a result of various injuries, incontinence may occur by damaging the muscles surrounding the anus or the nerves controlling them. When a physician is consulted, the cause of the problem is first investigated. For this purpose, different tests are applied and the results are examined. Depending on the results of these tests, different treatments can be applied. However, the definite point is that no matter what treatment is applied, incontinence cannot be completely eliminated.
In the treatment of incontinence, if there is a tear in the muscles, repair is performed. If there is no obvious tear, non-surgical methods (such as rectal injections, biofeedback, sacral nerve stimulation) are tried first. In cases where there is no benefit, the breech muscles can be strengthened by wrapping a muscle taken from the patient's leg around the anus.
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