Pescatori et al developed a score for grading anal incontinence. This can help to evaluate a patient initially and then to monitor the response to interventions. The authors are from Universita Cattolica in Rome.
Parameters:
(1) bowel contents associated with incontinence
(2) frequency of incontinence
Parameter |
Finding |
Points |
bowel contents |
none |
0 |
|
flatus or mucus |
1 |
|
diarrhea (liquid stool) |
2 |
|
solid stool |
3 |
frequency |
never |
0 |
|
occasionally |
1 |
|
weekly |
2 |
|
daily |
3 |
score for each type of incontinence =
= (points for bowel content type) + (points for frequency)
anal incontinence score =
= MAX(score for each type of incontinence)
Interpretation:
• minimum score: 0 (totally continent)
• maximum score: 6 (frequently incontinent for solid stool)
Specialty: Gastroenterology