Fecal Incontinence

Structure and Function in Continence and Incontinence.- Anatomy and Physiology of Continence.- Epidemiology of Faecal Incontinence.- Pathophysiology of Faecal Incontinence.- Risk Factors in Faecal Incontinence.- Psychological Aspects of Faecal Incontinence.- Impact of Fecal Incontinence on Quality of Life.- Social Aspects and Economics of Fecal Incontinence.- Diagnosis of Fecal Incontinence.- Clinical Assessment of the Incontinent Patient.- Diagnosis of Fecal Incontinence.- Imaging of Faecal Incontinence with Endoanal Ultrasound.- Imaging of Fecal Incontinence.- Diagnostic Workup in Incontinent Patients: An Integrated Approach.- Treatment of Fecal Incontinence.- Patient Selection and Treatment Evaluation.- Medical Treatment of Fecal Incontinence.- Rehabilitation and Biofeedback.- Sphincteroplasty.- Postanal Pelvic Floor Repair.- Dynamic Graciloplasty.- The Artificial Bowel Sphincter in the Treatment of Severe Fecal Incontinence in Adults.- Gluteoplasty for the Treatment of Fecal Incontinence.- Sacral Nerve Stimulation.- Injectable Bulking Agents.- Radiofrequency.- Physiological Parameters Predicting the Outcome of Surgical and Nonsurgical Treatment of Fecal Incontinence.- Selected Clinical Conditions.- Rectal Resection.- Iatrogenic Sphincter Lesions.- Rectal Prolapse.- Sphincter Atrophy.- Obstetric Lesions: The Coloproctologist's Point of View.- Obstetric Lesions: The Gynaecologist's Point of View.- Neurogenic Fecal Incontinence.- Diabetes.- Fecal Incontinence in Elderly and Institutionalized Patients.- Pelvic Radiotherapy.- Double Incontinence.- Pediatric Fecal Incontinence.- Future Perspectives.- Future Perspectives in Management and Research of Fecal Incontinence.

CARLO RATTO. He was born in Neaples, July 6th, 1962. He was graduated in Medicine and Surgery at the Catholic University of Rome in 1987. Specialist in General Surgery.

He is Researcher at the Department of Clinica Chirurgica, Catholic University, Rome.

His clinical practice, at the Division of Chirurgia Digestiva, Department of Surgical Sciences of Catholic University, Rome (Policlinico "A. Gemelli"), concerns particularly the colo-recto-anal diseases. He is actively involved in research on: Colorectal cancer, in particular concerning diffusion modalities of the tumor and prognosis, integrated therapies (surgery, chemoradiation, intraoperative radiation therapy), molecular biology; Anal cancer, in particular concerning staging and restaging of the tumor, integrated therapies (chemoradiation); Anorectal physiology, in particular concerning anorectal manometry, electrophysiology studies, endoanal ultrasound in benign anorectal disorders; Fecal incontinenceand constipation, in particular concerning, pathophysiology and treatment with traditional and novel therapeutic modalities (sphincteroplasty, dynamic graciloplasty, sacral neuromodulation); Fistula-in-ano, in particular concerning the assessment of fistula and abscess with endoanal ultrasound related to surgery results; Rectocele, in particular, concerning pathophysiology and modalities of clinical presentation, treatment options.



He is author of a number of scientific publications on international journals, and presented results of his research at national and international scientific meetings.

He is active member of: American Society of Colon and Rectal Surgeons (ASCRS); European Society of Coloproctology (EACP); Società Italiana di Chirurgia (SIC); Società Italiana di Chirurgia Oncologica (SICO); Società Italiana di Chirurgia Colorettale (SICCR)



He is National Secretary of the Società Italiana di Chirurgia Colorettale (SICCR)

He isNational

From the reviews:



"This up-to-date, comprehensive book covers all aspects of fecal incontinence. The purpose is to review the latest advances in epidemiology, socioeconomic, psychological, diagnostic, and therapeutic aspects of fecal incontinence in order to establish guidelines for effective treatment. ... The book is aimed at all physicians involved in the assessment and treatment of fecal incontinence, including medical students, residents, fellows, general practitioners, surgeons, and gastroenterologist. Renowned expert in each field from several institutions were invited to contribute." (Kasaya Tantiphlachiva, Doody's Book Review, October, 2007)

"The text is well written, well illustrated with appropriate references at the end, and in some sections augmented by invited commentary. ... This book aims to establish guidelines for the effective treatment of fecal incontinence and, on the whole, succeeds admirably. ... Overall, this is an excellent edition and ishighly recommended to those with an interest in incontinence and the pelvic floor including colorectal surgeons, higher trainees, urogynecologists, and clinical nurse specialists." (M. C. Winslet, Diseases of the Colon and Rectum, Vol. 51, 2008)