Classification of Kirwan et al for Fecal Incontinence

Kirwin et al developed a grading system for fecal incontinence based on the amount and type of leaked material.

Parameters:

(1) type of leaked material

(2) amount of leakage

(3) social acceptability

(4) coping strategy

Leaked Material	Amount of Leakage	Social Impact	Coping	Grade
none	NA	none	NA	I
gas	minor	none or minimal	none	II
stool, solid or liquid	minor	acceptable	requires pad	III
stool, solid or liquid	major, with frequent accidents	unsatisfactory	diaper	IV
stool, solid or liquid	extreme (no control)	totally unacceptable	colostomy or constant care	V

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