Fecal incontinence

Fecal incontinence is a common and socially disabling disorder. Combined cl inical and, in selected cases, functional and radiological assessment allow s determination of the underlying mechanisms and planning of treatment. Fec al impaction and sphincter degeneration are common causes in the community, whereas sphincter trauma (frequently obstetric) is the commonest etiologic factor identified in specialist practice. Based on the functional anatomic findings, a tailored management, selecting from pharmacological, behaviora l, or surgical modalities, may prove beneficial.