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Dyssynergic defecation(DD) is the inability to coordinate abdominal and anorectal muscle contraction during defecation. Patients with constipation often report poor quality of life, sleep issues, and increased risk of mood disorders. Biofeedback is a recommended treatment for DD.

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Objective: Motor recovery is challenging for spinal cord injury (SCI), especially in low-level SCI.

Methods: A 16-year-old patient with complete SCI at T12 presented flaccid paralysis and inability to control defecation and was scored as ASIA A at admission. The patient underwent spinal cord stimulation (SCS) implantation at the T11-L1, followed by an innovative algorithm combining spatiotemporal SCS with real-time triggered exoskeleton training (EXS-SCS).

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Article Synopsis
  • Fecal incontinence (FI) is the inability to control fecal leakage, and the artificial anal sphincter (AAS) is typically used as a last resort treatment option.
  • The study investigates a new type of AAS called the biaxial actuated artificial anal sphincter (BAAS), which offers real-time feedback on intestinal pressure and has a reliable power source.
  • In long-term experiments with piglets, the BAAS demonstrated effective feces control, with 65.79% accuracy in detecting when the piglets could defecate, enhancing the understanding of defecation mechanisms and guiding future AAS developments.
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Background: Micronutrient deficiencies are widespread in India. Soil-transmitted helminth (STH) infections are acquired by interaction with soil and water contaminated by human feces and lead to blood loss and poor micronutrient absorption. The current recommendation for control of STH-related morbidity is targeted deworming, yet little is known about the effectiveness of deworming on micronutrient status in varying sanitation contexts.

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The remit of this review is confined to the experimental scientific works and surgeries based on the Integral Theory paradigm. The video abstract summarizes the anorectal function, how ligaments cause dysfunction and cure of fecal incontinence and obstructed defecation by ligament repair. Anorectal function is reflex and binary, with cortical and peripheral components.

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