Fecal Incontinence in Women

Pelvic floor disorders are common in women.Most gynecologists are well versed in the management of urinary incontinence and uterovaginal prolapse; however, knowledge of disorders involving the anorectum is often lacking. This review will discuss the issue of anorectal incontinence in women, attempt to provide a logical outline for evaluation and treatment, and offer potential methods of prevention. Target Audience Obstetricians & Gynecologists, Family Physicians Learning Objectives After completion of this article, the reader will be able to understand the pathophysiology of anorectal incontinence in women, implement a plan for the evaluation of women with anorectal incontinence, initiate medical and surgical management of fecal incontinence, understand potential methods for prevention of anal sphincter injury, and consider alternative methods of repair for acute obstetrical injury in the labor suite.