Anal incontinence severity assessment tools used worldwide

Area of Science:

• Urology
• Gastroenterology
• Colorectal Surgery

Background:

• Anal incontinence assessment relies on various tools, with inconsistent evaluation of fecal urgency.
• Standardization is needed for accurate diagnosis and management of anal incontinence.

Purpose of the Study:

• To survey international clinicians and researchers on anal incontinence assessment tools.
• To evaluate the need for assessing the frequency of fecal urgency.

Main Methods:

• An international questionnaire survey was distributed to clinicians and researchers specializing in anal incontinence.
• Data collection occurred between May and December 2012, primarily from North America, Europe, and Asia.

Main Results:

• 143 responses were collected from diverse specialists. Fourteen different assessment tools were reported, with the Wexner score (48.8%) being most common.
• While the Wexner score is widely used, 91.7% of respondents agreed that fecal urgency frequency should be scored, indicating a need for modification or alternative tools.

Conclusions:

• The Wexner score, despite neglecting fecal urgency, is the most frequently used tool.
• This study highlights the need for standardized terminology and improved assessment of fecal urgency to enhance the reproducibility of research and clinical management of anal incontinence.