ABSTRACT
A 40-year-old female presents with fecal incontinence. She underwent neoadjuvant chemoradiation followed by low anterior resection for rectal cancer 5 years ago. She reports her incontinence started after surgery and has worsened since that time. She does not always feel the urge to defecate, and wears adult briefs daily both for passive stool leakage and for stool accidents. She has about four bowel movements per day, which are usually about an hour apart. They are sometimes loose in consistency. She has limited her activities outside the home, and carries extra clothes when she must go out in public. Her obstetric history includes two vaginal deliveries, which were only significant for an episiotomy with the second delivery.
