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Fecal leakage, fecal soiling and fecal seepage are minor degrees of FI, and describe incontinence of liquid stool, mucus, or very small amounts of solid stool. They cover a spectrum of increasing symptom severity (staining, soiling, seepage, and accidents). [1] Rarely, minor FI in adults may be described as encopresis.
In fecal incontinence (FI), surgery may be carried out if conservative measures alone are not sufficient to control symptoms. There are many surgical options described for FI, and they can be considered in 4 general groups. [1] Restoration and improvement of residual sphincter function ; sphincteroplasty (sphincter repair)
Neurogenic bowel dysfunction can have an impact on a person's life as it often leads to difficulties with self-esteem, personal relationships, social life and can also reduce a person's independence. [5] There is also evidence from studies showing that faecal incontinence can increase the risk of depression and anxiety. [11]
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Children who have fecal incontinence after the repair of an imperforate anus are usually those born with a bad prognosis type of defect and severe associated defects (defect of the sacrum, poor muscle complex). However, such children can still achieve a good quality of life when treated with the bowel management program.
Liquid stool may leak around a fecal impaction, possibly causing degrees of liquid fecal incontinence. This is usually termed encopresis or soiling in children, and fecal leakage, soiling or liquid fecal incontinence in adults. Anismus is usually treated with dietary adjustments, such as dietary fiber supplementation.
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