The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Fecal Incontinence

This article from the ASCRS reviews different management methods for Fecal Incontinence.  Managing this condition is challenging and needs to be individualized according to the severity of symptoms, cause, and coexisting pathology.  

“Endoanal ultrasound may be useful to evaluate sphincter anatomy when planning a sphincter repair”

“Endoanal ultrasound is a useful and sensitive tool to investigate a sphincter defect in the setting of FI, especially when there is a history of vaginal delivery or when a surgeon considers performing a sphincter repair.”

Aside from conservative and supportive measures, several surgical interventions are available to treat FI with variable efficacy. 

This practice guideline reviews the medical and surgical options currently available for the management of patients with FI. 

Article Details


Liliana G. Bordeianou, M.D., M.P.H.1, Amy J. Thorsen, M.D.2, Deborah S. Keller, M.S., M.D.3, Alexander T. Hawkins, M.D., M.P.H.4, Craig Messick, M.D.5 Lucia Oliveira, M.D., Ph.D.6, Daniel L. Feingold, M.D.7, Amy L. Lightner, M.D.8, Ian M. Paquette, M.D.9

Publishing Info

Diseases of the Colon & Rectum
May 2023

Filed Under

  • Colon & Rectal
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  • Gastroenterology
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  • Urogynecology & Female Urology
  • Defecation Disorders
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  • Pelvic Floor Dysfunction