Faecal Incontinence

Faecal incontinence is loss of gas, solid or liquid stool without the knowledge of the individual. It is commoner in women due to birth injuries. Women typically complain saying that they are not able to hold their gas or that they loose stool whenever they do active work like bending, lifting objects or coughing etc.

Sometimes motion may seep out and wet their panties even at rest. It is a very embarrassing situation and is a serious threat on a woman’s quality of life. Birth injuries are the principal cause of faecal incontinence in women. Women who experience complete tear of their perineal area are more prone for FI. Also upto 30% of women who delivered using forceps can experience FI later in life.

Faecal Fistulas

A fistula is an abnormal communication between two epithelial surfaces. Faecal fistulas are very rare in women. However they can occur due to trauma during childbirth. There could be an abnormal communication between the vagina and the rectum and in this case the fistula is called a rectovaginal fistula. The fistulas are very debilitating and dramatically affect quality of life in women. The surgery requires careful dissection of surgical planes and separating the communication between the rectum and the vagina. The laser helps a great deal in the fine dissection required.

Did You Know?
Overactive baldder (OAB) symptoms are more bothersome than SUI due to the unpredictable manner in which they occur. OAB affects quality of life more severely than diabetes.