FECAL INCONTINENCE SCORING IN RELATION TO THE INDICATIONS AND RESULTS OF SURGERY, APPLICATION OF A NEW SCORE; MANSOURA FECAL INCONTINENCE SCORE (MFIS)

Aim: To create a simple, reproducible fecal incontinence scale and establishing its sensitivity and validity. Method: The data of 144 patients with different degrees of fecal incontinence were analyzed retrospectively using four established scales and a newly devised scale which considered incontinence to mucous as a separate and independent entity. The patients were divided into two groups according to the new scale. Group one (n = 32) included patients with minor degree fecal incontinence (incontinence to flatus and / or mucous) with proved sphincter defect who were treated by biofeedback and group two (n = 112) included patients complaining of major degrees of fecal incontinence (liquid and solid stool) who were managed surgically. Results: All four scales correlated highly and significantly with the new scale. All except one score changed significantly in response to biofeedback and surgical treatment. The new scale showed the greatest change, at the highest level of significance and correlated best with the clinical assessment and Pescatori scoring. Conclusion: The newly devised scoring system is better to be applied in our locality because of religious reasons, it is reliable in measuring the change of continence after surgery and has high clinical validity and utility