Diseases of the Colon & Rectum

Skip Navigation LinksHome > December 1999 - Volume 42 - Issue 12 > Patient and surgeon ranking of the severity of symptoms asso...
Text sizing:
Diseases of the Colon & Rectum:
doi: 10.1007/BF02236199
Original Contributions: PDF Only

Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: The fecal incontinence severity index.

Rockwood, Todd H. Ph.D.; Church, James M. M.D.; Fleshman, James W. M.D.; Kane, Robert L. M.D.; Mavrantonis, Constantinos M.D.; Thorson, Alan G. M.D.; Wexner, Steven D. M.D.; Bliss, Donna R.N., Ph.D.; Lowry, Ann C. M.D.

Collapse Box


PURPOSE: The purpose of this research was to develop and evaluate a severity rating score for fecal incontinence, the Fecal Incontinence Severity Index.

METHODS: The Fecal Incontinence Severity Index is based on a type x frequency matrix. The matrix includes four types of leakage commonly found in the fecal incontinent population: gas, mucus, and liquid and solid stool and five frequencies: one to three times per month, once per week, twice per week, once per day, and twice per day. The Fecal Incontinence Severity Index was developed using both colon and rectal surgeons and patient input for the specification of the weighting scores.

RESULTS: Surgeons and patients had very similar weightings for each of the type x frequency combinations; significant differences occurred for only 3 of the 20 different weights. The Fecal Incontinence Severity Index score of a group of patients with fecal incontinence (N = 118) demonstrated significant correlations with three of the four scales found in a fecal incontinence quality-of-life scale.

CONCLUSIONS: Evaluation of the Fecal Incontinence Severity Index indicates that the index is a tool that can be used to assess severity of fecal incontinence. Overall, patient and surgeon ratings of severity are similar, with minor differences associated with the accidental loss of solid stool.

(C) The ASCRS 1999


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.