Fecal incontinence or bowel incontinence is the inability to control bowel movements. An embarrassing and often underreported condition, fecal incontinence causes stool to leak from the rectum without warning. The symptoms can range from occasional seepage of stool when passing gas to loss of control of full bowel movements. The most common cause of bowel incontinence is damage to the muscles around the anus (anal sphincters).
Conditions that raise the risk for fecal incontinence include:
In some cases, you may need surgery to repair damage to the muscles or nerves that are causing bowel dysfunction. Colon and rectal surgeons at BWH offer a range of procedures for treating fecal incontinence:
Sacral nerve stimulation is a minimally invasive technique that stimulates nerve roots for improved sphincter function.
Sphincteroplasty repairs the muscles of a weakened anal sphincter by stitching them more tightly together.
You will receive a thorough diagnostic examination to evaluate if you have fecal incontinence and if surgery is needed. Careful monitoring and the involvement of an experienced colon and rectal surgeon are important to the successful outcome for patients with colorectal conditions.
The day of surgery, you will be taken care of in the operating room by surgeons, anesthesiologists and nurses who specialize in fecal incontinence surgery. After surgery, you will go to the post-surgical care unit where you will receive comprehensive care by an experienced surgical and nursing staff.
Brigham and Women’s Hospital provides a multidisciplinary approach to patient care, collaborating with colleagues who have extensive experience in diagnosing and treating fecal incontinence. In addition, patients have full access to BWH’s world-renowned academic medical community with its diverse specialists and state-of-the-art facilities.