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Fecal loss can be a debilitating condition that can result in social isolation. It is thought that up to 15% of people struggle with fecal incontinence. There can be various reasons why a woman can have fecal incontinence, but there are options to improve fecal loss and get you back to living your life.

Fecal/Anal Incontinence

The involuntary loss of flatus and or stool. Fecal incontinence may occur with activity such as exercise but is mostly related to urge. This can be related to vaginal deliveries with third or fourth degree lacerations. It can also be related to Inflammatory Bowel Disease, anorectal lesions and Irritable Bowel Syndrome.


Anal incontinence can be diagnosed by taking a history, doing a physical exam and completing a bowel diary. At times, diagnostic testing may be indicated. This may include colonoscopy and consultation with your Gastroenterologist.

Treatments for Anal Incontinence

Pelvic floor physical therapy

Meeting with a specialist in pelvic floor physical therapy to learn exercises and techniques that are known to improve the pelvic floor muscles. Pelvic floor physical therapy can be used to improve stress urinary incontinence, urge urinary incontinence, urinary frequency, urinary urgency and fecal incontinence.

Pelvic floor rehabilitation

The use of passive stimulation of the muscles using a device such as Emsella that contracts your pelvic muscles for you. This treatment can be helpful for identifying and strengthening the muscles of the pelvic floor area responsible for stress urinary incontinence, urge urinary incontinence, urinary frequency, urinary urgency and fecal incontinence.


Fiber and Imodium can be helpful to bulk the stool and allow you to have more control. Having bulkier stool can help your muscles hold back stool more easily.


A technology in which a stimulation is sent to the nerves responsible for controlling urinary urgency, urinary frequency, urge related urinary incontinence, fecal incontinence and urinary retention. There are currently two main forms of neuromodulation. These are Sacroneuromodulation and Tibial Nerve Stimulation.

  • Sacroneuromodulation – This form of neuromodulation involves placing a small wire attached to a small battery under the skin. The wire and battery are like a pacemaker and are placed in the hip pocket area. An electrical stimulation is sent from the wire to the area of the nerves that help control bladder and bowel function. You are given a remote that communicates with the battery so you can control the stimulation, turn it off and on and try various stimulation programs. This is a popular option for because the battery is replaced every 4-6 years and not many visits are required once your programs are set.
  • Tibial Nerve Stimulation – This form of neuromodulation is external. An acupuncture needle is gently inserted into the inside of the ankle. An external battery is then attached to the needle delivering a stimulation that gives a flutter sensation in the foot while the battery is connected. This energy is applied for 30 minutes. Since this option is not implanted, it requires repeat treatment weekly for twelve weeks and then monthly.
Call Urogynecology Center NoVa today to schedule a consultation.703-293-5239