ABSTRACT
Soiling or leakage is a bothersome condition. In contrast to fecal incontinence, which is loss of control over stools, soiling is characterized by liquid discharge from the anus or perianal area. The fecal microbacterial flora is not different in patients with soiling and pruritus ani. The aspect of the discharge may give a clue as to the diagnosis. The cause of soiling can almost always be correctly diagnosed with good inspection and additional proctoscopy. Anal endosonography can be of assistance in patients with soiling. Fistulae and abcesses can be visualized with anal endosonography, although digital palpation under anesthesia is more accurate. Internal hemorrhoids are treated primarily by rubber band ligation; surgery is reserved for unsuccessful cases or when large external hemorrhoids are also present. In conclusion, soiling is characterized by liquid discharge of the anus or perianal area, caused by conditions easily diagnosed by simple means of inspection and proctoscopy.
