ABSTRACT

CHALLENGING CASE A 35-year-old woman presents to your office with complains of fecal incontinence. She is G3 P3, all vaginal deliveries and one child was 8 pounds. The patient reports fecal soiling for the last year with progressive uncontrolled passage of flatus and occasional identification of stool in her undergarments that she was unaware of having passed. There is additional incontinence associated with athletic activity. The incontinence severely affects the patient’s life style.