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Treatment of Encopresis (bowel Incontinence)

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for encopresis (bowel incontinence)
 from  524
Encopresis (bowel incontinence) treatment with sphincter reconstruction
 from  10189
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
 from  7520

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t
Diagnostic tests for encopresis (bowel incontinence)
1858
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
19290

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for encopresis (bowel incontinence)
2109
Encopresis (bowel incontinence) treatment with sphincter reconstruction
19630
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
22745

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for encopresis (bowel incontinence)
2696
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
29954

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for encopresis (bowel incontinence)
1992
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
21570

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostic tests for encopresis (bowel incontinence)
2428
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
26772

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for encopresis (bowel incontinence)
1843
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
18973

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for encopresis (bowel incontinence)
1965
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
20205

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for encopresis (bowel incontinence)
2050
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
22929

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for encopresis (bowel incontinence)
1750
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
18281

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for encopresis (bowel incontinence)
1931
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
20605

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for encopresis (bowel incontinence)
0
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
0

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for encopresis (bowel incontinence)
2457
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
26583

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for encopresis (bowel incontinence)
1911
Encopresis (bowel incontinence) treatment with sphincter reconstruction
17333
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
20742

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for encopresis (bowel incontinence)
2017
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
21626

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for encopresis (bowel incontinence)
2087
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
22673

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for encopresis (bowel incontinence)
1985
Encopresis (bowel incontinence) treatment with sphincter reconstruction
17241
Treatment of encopresis (bowel incontinence) with artificial sphincter implantation
20734
| from Booking Health GmbH

Fecal incontinence is an impairment of the function of the rectal obturator with uncontrolled bowel movements. In 50% of cases, the pathology develops due to rectal surgery, while 25% of cases are caused by injuries. Other causes may include complications during childbirth, birth defects, bowel and spinal cord diseases.

Fecal incontinence in adults can be successfully treated abroad. Doctors use both conservative and surgical methods. Whenever possible, they restore the patient's own rectal obturator. In extreme cases, if standard treatment methods do not work, an artificial anal sphincter is implanted.

Content

  1. Conservative therapy
  2. Surgery
  3. Where to undergo treatment

Conservative therapy

 

Conservative treatment involves medications, diet, and non-drug procedures. The therapy is effective only for grade 1 fecal incontinence. Occasionally, the patients with grade 2 pathology can also receive good results.

The following options help reduce fecal incontinence in the elderly:

  • Diet high in fiber or taking dietary supplements, which are sources of insoluble dietary fibers – a minimum dose of 25-30 grams per day.
  • Cleansing enemas.
  • Adsorbents.
  • Drugs that slow down intestinal motility.
  • Therapeutic exercises to train the muscles of the pelvic floor and anal sphincter.

Biofeedback is a treatment method, which can be used as an independent procedure or as a stage of postoperative rehabilitation of patients. This is training the sphincter and developing the correct perception of sensations, which can improve the control of bowel movements.

Both power and coordination methods are used. The power one strengthens the sphincter muscles. A sensor is inserted into the rectum. The patient contracts the sphincter muscles while lying on his side and monitors the results of his efforts on the screen. The coordination method forms the rectoanal reflex. Doctors insert a balloon into the patient's anus, which is filled with air, and a sensor to monitor training. The patient compresses the sphincter and controls the correctness of the exercise performed on the screen.

Electrical stimulation can be used alone or in the postoperative period. Electrical impulses cause the sphincter muscles to contract, thus increasing their volume and strength.

Tibial neuromodulation is electrical stimulation of the posterior tibial nerve. Thus, doctors achieve an effect on the sacral plexus. The procedure improves the innervation of the sphincter and increases its tone.

Sacral nerve stimulation helps doctors to stimulate the sacral nerves with electrical energy. Not only the sphincter is strengthened, but the muscles of the perineum, which help the patient to retain feces. The effect is temporary, but, if successful, the patient can undergo surgical implantation of a permanent electrode and a stimulator.

An anal sealant is a temporary solution for severe fecal incontinence. The anus is closed with a special tampon, which is changed 2 times a day.

Surgery

 

The preferred surgical technique depends on the extent of the sphincter injury and the location and severity of the defect. The main options are:

  • Gel plastic repair. It is a minimally invasive treatment, involving the injection of a polyacrylamide hydrogel into the submucosal layer, in the area of ​​the external sphincter. This results in the improved closure of the anal canal walls. After a single injection of the drug, half of patients can get rid of fecal incontinence. The rest require 2-4 injections. The procedure provides a temporary effect. Over the course of several months, the implants gradually decrease in size. However, granulation tissue gradually develops near the implants, so the partial effect persists for a long time. The procedure is usually repeated every 1-2 years.
  • Sphincteroplasty. The sphincter reconstruction is required with the development of its 2-3  grade insufficiency, cicatricial deformities, defects of more than 25% of the circumference. Doctors remove the affected part of the sphincter, and the ends are sutured without tension.
  • Sphincterolevatoroplasty. The operation is complemented by plastic surgery of the muscles, which lift the anus (levator ani). It is possible to suture the sphincters (muscles that compress the anus) and levator ani.
  • Sphincterogluteoplasty. This procedure involves the replacement of muscle defects with a gluteal flap. Doctors take a piece of tissue up to 8 cm long.
  • Gluteoplasty. The sphincter is repaired using long flaps of the gluteal muscles. Both muscles can be used. The operation can be performed either in one or two stages.
  • Graciloplasty. The sphincter is formed from the thigh muscles. Like gluteoplasty, this method can be used for severe forms of pathology, for example, after rectal trauma or in patients with congenital malformations.
  • Artificial sphincter implantation. This intervention is indicated only if other surgical treatment methods are ineffective or futile. The implant is an artificial silicone container. The compression of the artificial sphincter is achieved by injecting the gel from the balloon. The patient does not feel the urge to defecate, but can voluntarily empty the rectum, releasing the gel from the implant, and thus weakening the artificial sphincter. The treatment method is effective, but unsafe, because purulent complications often develop.

Where to undergo treatment

 

To receive the highest level of medical care, you can undergo fecal incontinence treatment abroad. The specialists of the Booking Health company will select the best fecal incontinence hospitals in Europe for you and take care of the organization of your trip.

There are several reasons for you to undergo medical treatment abroad:

  • In case of grade 1-2 anal sphincter insufficiency, its function can be improved by conservative methods, without surgery.
  • Specialists perform various procedures for sphincter reconstruction, including muscle transplantation from the thigh or buttocks. These treatment methods are effective even for severe fecal incontinence.
  • Innovative treatment methods are available abroad, including gel plastic repair, autologous (patient's own) adipose tissue injection to improve bowel control.
  • Even the most complex surgeries, including the implantation of an artificial sphincter, are successfully performed.
  • Minimal risk of complications.
  • Treatment of concomitant pathologies, which have caused fecal incontinence.
  • Comfortable conditions, high-quality care, adequate pain relief.
  • Comprehensive rehabilitation after surgery.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program via our service, the cost of the operation will be lower due to the lack of additional coefficients for foreign patients. You can compare prices in different clinics to book your treatment at the best price.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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