Nonoperative Medical Management of Fecal Incontinence

Medical management of fecal incontinence is focused on altering stool consistency, stool volume, intestinal transit time, and patterns of defecation. It is the primary approach for patients without surgically correctable defects and is a useful adjunct when combined with surgery or biofeedback. The clinical spectrum of fecal incontinence is broad, and usually a combined approach including dietary manipulation, medication, and bowel management is necessary. Although complete resolution of symptoms is not always possible, most patients are improved, enhancing their sense of well-being and quality of life.