{"id":23248,"date":"2018-11-08T12:41:36","date_gmt":"2018-11-08T11:41:36","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12514"},"modified":"2022-05-02T16:37:56","modified_gmt":"2022-05-02T14:37:56","slug":"incontinence-anale","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/proctologie\/pathologies-2\/incontinence-anale\/","title":{"rendered":"Incontinence anale"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"l-incontinence-anale-est-une-pathologie-fonctionnelle-relativement-frequente\">L&rsquo;incontinence anale est une pathologie fonctionnelle relativement fr\u00e9quente<\/h2>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\">Cette pathologie touche jusqu\u2019\u00e0 10% de la population g\u00e9n\u00e9rale selon certaines \u00e9tudes, mais m\u00e9connue car souvent consid\u00e9r\u00e9e comme \u00ab tabou \u00bb.<\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\">Elle peut toucher les hommes comme les femmes. Ses causes sont variables : chirurgie anale, suites d\u2019un accouchement par voie basse difficile, constipation ancienne, maladie neurologique, prolapsus rectal\u2026Parfois, la cause n\u2019est pas retrouv\u00e9e. Il existe plusieurs degr\u00e9s de s\u00e9v\u00e9rit\u00e9 pour l\u2019incontinence anale : incontinence aux gaz et\/ou aux selles, rare ou quotidienne, ce qui entra\u00eene une alt\u00e9ration parfois majeure de la qualit\u00e9 de vie des patients.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Le traitement de l\u2019incontinence anale<\/strong> est en premier lieu m\u00e9dical (r\u00e9gulation du transit, am\u00e9lioration de la vidange du rectum lors de la selle). Si ce traitement est insuffisant, une r\u00e9\u00e9ducation ano-rectale effectu\u00e9e par un kin\u00e9sith\u00e9rapeute sp\u00e9cialis\u00e9 peut \u00eatre propos\u00e9e.<br>En cas d\u2019\u00e9chec, et selon l\u2019origine de l\u2019incontinence anale, un bilan morphologique peut \u00eatre effectu\u00e9 : manom\u00e9trie ano-rectale (mesure du tonus du sphincter anal), \u00e9chographie endo-anale (v\u00e9rification de l\u2019int\u00e9grit\u00e9 du sphincter anal), colpo-cysto-d\u00e9f\u00e9cographie et\/ou d\u00e9f\u00e9co-IRM (v\u00e9rification des diff\u00e9rents organes du p\u00e9rin\u00e9e au repos et en pouss\u00e9e).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Au terme de ce bilan, une discussion du dossier lors d\u2019une \u00ab r\u00e9union de concertation multidisciplinaire \u00bb (cf encadr\u00e9) est effectu\u00e9e afin de proposer un traitement personnalis\u00e9 au patient. En fonction du degr\u00e9 de s\u00e9v\u00e9rit\u00e9 de l\u2019incontinence anale, et s\u2019il n\u2019existe pas d\u2019anomalie morphologique \u00e0 corriger chirurgicalement (plus commun\u00e9ment appel\u00e9e \u00ab descente d\u2019organes \u00bb), une neuromodulation des racines sacr\u00e9es (sorte de pace maker implant\u00e9 dans la fesse et reli\u00e9 aux racines sacr\u00e9es qui stimule le sphincter anal) peut \u00eatre propos\u00e9e. Le sphincter magn\u00e9tique, dont l\u2019efficacit\u00e9 est en en cours d\u2019\u00e9valuation en France, peut \u00e9galement \u00eatre indiqu\u00e9, mais uniquement dans le cadre d\u2019un protocole scientifique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>H\u00e9l\u00e8ne PILLANT-LE MOULT<\/em><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211; Encadr\u00e9 &#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li style=\"text-align: left\"><strong>La r\u00e9union de concertation multidisciplinaire pour l\u2019incontinence anale.<\/strong><br>Nous avons mis en place au sein du Groupe hospitalier Paris Saint-Joseph une r\u00e9union de concertation multidisciplinaire pour l\u2019incontinence anale.<br>Il s\u2019agit une r\u00e9union mensuelle regroupant proctologues, chirurgiens digestifs, urologues, gyn\u00e9cologues, radiologues et kin\u00e9sith\u00e9rapeutes dont le but est de discuter de mani\u00e8re coll\u00e9giale tous les dossiers de pelvi-p\u00e9rin\u00e9ologie (incontinence anale +\/- urinaire, troubles de la statique pelvienne, d\u00e9chirures p\u00e9rin\u00e9ales, etc.).<br>A la suite de cette r\u00e9union, une fiche r\u00e9sumant l\u2019observation m\u00e9dicale ainsi que la d\u00e9cision th\u00e9rapeutique est class\u00e9e dans le dossier m\u00e9dical et envoy\u00e9e au m\u00e9decin correspondant.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>L&rsquo;incontinence anale est une pathologie fonctionnelle relativement fr\u00e9quente Cette pathologie touche jusqu\u2019\u00e0 10% de la population g\u00e9n\u00e9rale selon certaines \u00e9tudes, mais m\u00e9connue car souvent consid\u00e9r\u00e9e comme \u00ab tabou \u00bb. Elle peut toucher les hommes comme les femmes. Ses causes sont variables : chirurgie anale, suites d\u2019un accouchement par voie basse difficile, constipation ancienne, maladie neurologique, [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":22646,"menu_order":4,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":null,"stick-header-meta":null,"header-above-stick-meta":null,"header-main-stick-meta":null,"header-below-stick-meta":null,"astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-23248","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/usersync\/","display_name":"usersync"},"relative_dates":{"created":"Publi\u00e9 8 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 8 novembre 2018","modified":"Mise \u00e0 jour le 2 mai 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 8 novembre 2018 12 h 41 min","modified":"Mise \u00e0 jour le 2 mai 2022 16 h 37 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":1,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23248\/revisions"}],"predecessor-version":[{"id":23261,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/23248\/revisions\/23261"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22646"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=23248"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=23248"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=23248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}