
Do you have a medical problem that you are embarrassed to talk about? Too often, people’s embarrassment keeps them from finding out about possible solutions for their medical conditions. Fecal incontinence (FI)the inability to control one’s bowelsmight not be something you feel comfortable discussing with your friends, but health care providers can provide answers for this condition that affects approximately 7 percent of women. The condition becomes worse with age and tends to occur more frequently in women whose muscles were damaged during childbirth.
Researching the Problem
In 2006, Dee E. Fenner, M.D., professor of Obstetrics and Gynecology, and director of Gynecology at the University of Michigan Medical School, was senior author on an award-winning paper that studied FI. The researchers found that women in the study who had FI were also more likely to have: a higher number of deliveries, urinary incontinence, a previous hysterectomy, another medical condition such as major depression or diabetes, or a history of operative vaginal delivery involving forceps or a vacuum-assisted device.
Developing the Program
Fenner was also one of the founders of the Michigan Bowel Control Program at the University of Michigan Health System that addresses many conditions in addition to FI. She says, “We developed the program so we can bring different specialties together to address problems. We make it easy for the patients to have coordinated evaluation and care.” Treatment for FI takes a variety of approachesspecialized physical therapy, medications and surgery. Sometimes the solution is as simple as diet modification.
Offering Successful Treatments
Fenner says the program’s patients are very happy to find out that there are solutions. Before treatment, many of her patients were previously afraid to leave their homes. After treatment, they no longer have to spend their time worrying about whether there is a bathroom close by. Fenner says, “Treatment frees them up to enjoy their lives. They have the ability to leave their homes and be more social.”
For more information about the Michigan Bowel Control Program, visit www.med.umich.edu/bowelcontrol/ or call 877-GO-BOWEL.