Faecal incontinence: a narrative review of clinic-based management for the general gynaecologist

Williams KS1, Shalom DF1, Winkler HA1. J Obstet Gynaecol. 2017 Sep 22:1-9. doi: 10.1080/01443615.2017.1344204. [Epub ahead of print]
Author information

1 a Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery , Northwell Health at Hofstra North Shore-LIJ School of Medicine , Great Neck , NY , USA.


The objective of this article is to provide an informative and narrative review for the general Gynaecologist regarding the pathophysiology and conservative treatments available for faecal incontinence (FI). A PubMed search was performed by library staff and an author using the keywords: anal incontinence, faecal incontinence, accidental bowel leakage, outpatient clinic management of faecal incontinence and defecatory dysfunction. As the social limitations of FI can be devastating and long-term patient satisfaction rates after anal sphincteroplasty remain reportedly-low, the role of clinic-based management of FI has continued to grow. The purpose of this article is to provide the Obstetrician and Gynaecologist with a basic template for screening, evaluation and management of faecal incontinence in the clinical setting.

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