Neurologic lesions can affect the anorectum and cause rectal impaction, los
s of urge to defecate, inability to trigger a defecation sequence, obstruct
ive defecation, and fecal incontinence. The management of such patients dep
ends on underlying pathophysiologic mechanisms. Pharmacologic treatment, di
etary advice, bowel training, and rehabilitative treatment may be used alon
e or in combination.