ABSTRACT

Fecal incontinence (FI) is a common problem that may have a substantial negative impact on a person's life. There are many scoring systems and scales that have been developed to qualify the severity of FI; the Wexner/Cleveland Clinic Florida Fecal Incontinence Score is the most cited scoring system. Specifically, The Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons has recently published an updated practice outline to address the evaluation and management of patients with fecal incontinence based on a comprehensive review of the published evidence. In mild cases, surgery may not be required to control symptoms and negate the impact on activities of daily living. The main advantages of biofeedback are that it may avoid surgery in patients with mild FI and it does not interfere with any future surgical treatment options.