R surg. female viagra uk online 1998 jan;33(1):133-7. generic viagra Bowel management for fecal incontinence in patients with anorectal malformations. Peã±a a, guardino k, tovilla jm, levitt ma, rodriguez g, torres r. Source department of surgery, long island jewish medical center, new hyde park, ny 11040, usa. Abstract background/purpose: fecal incontinence is common in patients operated on for anorectal malformations. female viagra uk online Treatment with enemas, laxatives, and medications are often given by clinicians in an indiscriminate manner and without a demonstrated benefit. A systematic diagnostic approach and bowel management program was developed for patients suffering from fecal incontinence, and a retrospective analysis of the results is presented. Methods: three hundred forty-eight patients were seen in consultation for fecal incontinence after repair of imperforate anus at other institutions. Clinical and radiological evaluation helped determine different types of patients. Group i consisted of 147 patients who were considered candidates for reoperation and forms the basis of a future report. viagra 25 mg no prescription Group ii included 172 patients who had no potential for bowel control and were therefore candidates for bowel management. medicaresupplementspecialists.com/pfz-cheap-viagra-online-no-rx-yl/ These patients fell into two categories; group iia included 44 patients with incontinence and constipation. viagra cost The bowel management involved the use of daily large enemas only. Group iib included 128 patients with incontinence and a tendency to diarrhea. Group iii consisted of 29 patients who had pseudoincontinence. They had an original defect with good prognosis, good sphincters, good sacrum, and a well-located rectum. viagra kopen nederland They suffered from severe constipation, megasigmoid, chronic fecal impaction, and overflow pseudoincontinence and were treated with laxatives or sigmoid resection. Results: bowel management was successful in 93% of patients in the constipation group (iia) and 88% in the diarrhea group (iib). viagra without a doctor prescription Ninety-seven percent of patients in group iii became fecally continent. Conclusion: bowel management consisting of enemas, laxatives, and medications is successful when administered in an organized manner. It is vital to determine the type of fecal incontinence from which the patients suffer and to target their treatment accordingly. viagra generic Pmid: 9473119 [pubmed - indexed for medline] mesh terms, substances mesh terms anus, imperforate/complications anus, imperforate/surgery* cathartics/therapeutic use child constipation/etiology constipation/therapy enema fecal incontinence/etiology* fecal incontinence/therapy* humans postoperative complica. female viagra uk online cheap viagra on line Dirección: Av/ Libertad 13, Entresuelo Dcha, CP: 03690
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