Vaizey et al developed a fecal incontinence score. It resembles the score proposed by Jorge and Wexner (above). The authors are from St. Mark's Hospital in Middlesex and the Middlesex Hospital in London.
Parameters:
(1) frequency of incontinence for solid stool
(2) frequency of incontinence for liquid stool
(3) frequency of incontinence for gas
(4) frequency of fecal incontinence altering lifestyle
(5) need to wear a pad or anal plug
(6) taking a medication that causes constipation
(7) inability to defer defecation for 15 minutes
|
Parameter |
Finding |
Points |
|
incontinence for solid stool |
never |
0 |
|
|
rarely |
1 |
|
|
sometimes |
2 |
|
|
weeky |
3 |
|
|
daily |
4 |
|
incontinence for liquid stool |
never |
0 |
|
|
rarely |
1 |
|
|
sometimes |
2 |
|
|
weeky |
3 |
|
|
daily |
4 |
|
incontinence for gas |
never |
0 |
|
|
rarely |
1 |
|
|
sometimes |
2 |
|
|
weeky |
3 |
|
|
daily |
4 |
|
change in lifestyle because of fecal incontinence |
never |
0 |
|
|
rarely |
1 |
|
|
sometimes |
2 |
|
|
weeky |
3 |
|
|
daily |
4 |
|
need to wear a pad or plug |
no |
0 |
|
|
yes |
2 |
|
taking a medication that causes constipation |
no |
0 |
|
|
yes |
2 |
|
inability to defer defecation for 15 minutes |
no |
0 |
|
|
yes |
4 |
total score =
= SUM(points for all 7 items)
Interpretation:
• minimum score: 0
• maximum score: 24
• The higher the score the worse the fecal incontinence.
Specialty: Gastroenterology
