Therapy

Feacal incontinence

How can we help you?

In case of minor symptoms, you can improve your condition by changing your diet (lots of fibre, lots of liquid) and the right pelvic floor training. In an advanced stage, however, you should consider surgery.

In most cases, we operate pathologically enlarged haemorrhoids as well as rectum prolapses transanally, meaning through the anus. The overstretched excess haemorrhoidal and rectal tissue is removed using modern techniques and the remaining healthy tissue is returned to its original position. Due to the fact that the necessary cuts are made in a region that does not transmit pain, this surgical method can be justly labelled "low-pain". The fact that there are no open wounds is another advantage of this method.

Subsequent therapy

The intestinal tissue that prolapsed into the anal canal strains the sphincter that surrounds the canal through permanent expansion. In some patients, this muscular system may be temporarily weak after such reconstructive surgery and not able of performing its tasks properly. Important to know: with such diseases, surgery remedies the consequences but not the causes. A special aftercare concept is helpful here that deals with the musculature on the one hand and with the functionality of the rectum on the other. Nutrition counselling is part of this.

At least three months after surgery, the CPCC-Team is your contact person on site and also at your service by phone at all times.



Further therapy options

Anal band Anal band In some people, the anal sphincter is damaged in such a way that the stated therapy options do not lead to the desired success. This may be a congenital sphincter weakness or an acquired one, e.g. through radiation of the tissue due to cancer. In such cases it is possible to replace the damaged sphincter surgically with an artificial one made of silicone or strengthen the natural one with this. Patients with such an anal band are then able to void their bowels again voluntarily.

SNS: Sacral nerve stimulation However, there are people who cannot retain their faeces despite a strong and/or healthy sphincter. In these cases, the neural pathways of the pelvis may be damaged so that the sphincter does not receive the right signals, or weak signals, or even no information at all concerning opening and closing. But this problem can be solved as well: with an intestinal pacemaker. After a successful test phase of approx. 2 weeks, a neurostimulator (similar to a heart pacemaker) is implanted into the subcutaneous fatty tissue in the region of the buttocks. The sphincter is permanently stimulated via an electrode that sends a current directly to the sacral spinal nerves. This allows normal bowel control.

The pacemakers we use stimulate for a period of 8 years on average. After this period, a new pacemaker is required. Under certain conditions, this can also be exchanged ambulant.


Prolapsed haemorrhoids and affected anal mucosa shorten the anal canal
=feacal incontinence



Operation result: repaired anal 
canal with haemorrhoidal tissue
allows the continence (stool control)