{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:39:15Z","timestamp":1770136755638,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016304","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016304","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014231","name":"European Society of Coloproctology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014231","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the prevalence of faecal incontinence (FI) among patients attending colorectal clinics in a global setting, treatment choices and accessibility to diagnostic and treatment tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An international, prospective, multi\u2010centre snapshot audit and survey of patients undergoing consultation regarding FI was undertaken from January 9 to February 28, 2023. Participating units included patients in the audit who presented until March 28, 2023. Main outcomes measured included the prevalence of FI in clinical practice, diagnostic approaches, treatment patterns and availability of interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1853 outpatients with FI and 363 surgical patients were included, representing a prevalence of 6.3% of total clinic attendance over the same period. The majority of patients were female (75.3%), parous (85% of females). Patients presented with passive and urge incontinence, or both, in fairly even proportions (34.8 vs. 29.4 vs. 33.7%, respectively). Aetiology was most commonly anal injury (surgical or obstetric: 15.4% vs. 19.8%, respectively), but with significant proportions of other surgical conditions, such as low anterior resection syndrome (11.1%) and rectal prolapse (12.7%). In the surgical audit (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009363), the majority of patients had received previous treatment (61.1%), including pelvic floor physiotherapy (67.1%), bowel retraining with biofeedback (51.4%), and nurse\u2010led continence support (40.5%). Of 395 procedures performed, sacral neuromodulation was the most common (28.9%), followed by sphincteroplasty (22.0%). In the global practice survey (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009250 respondents), endoanal ultrasound (EAUS) (82.4%) and anorectal manometry (74.4%) were the most available diagnostic tools.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Globally, FI forms a significant part of colorectal surgeons' clinical workload, with a skew toward structural causes of FI. Practice varies according to the availability of diagnostics and procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70245","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T05:20:55Z","timestamp":1759900855000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Results of the international audit for faecal incontinence on behalf of the European Society of Coloproctology (ESCP) collaborating group"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3692-8962","authenticated-orcid":false,"given":"Audrius","family":"Dulskas","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Institute of Clinical Medicine, Vilnius University  Vilnius Lithuania"},{"name":"Department of Surgical Oncology National Cancer Institute  Vilnius Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5684-5075","authenticated-orcid":false,"given":"Dovile","family":"Cerkauskaite","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Institute of Clinical Medicine, Vilnius University  Vilnius Lithuania"},{"name":"Department of Surgical Oncology National Cancer Institute  Vilnius Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa","family":"El\u2010Hussuna","sequence":"additional","affiliation":[{"name":"Department of Surgery Slagelse Hospital  Slagelse Denmark"},{"name":"Copenhagen University Hospital Hvidovre  Hvidovre Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaetano","family":"Gallo","sequence":"additional","affiliation":[{"name":"Department of Surgical and Medical Sciences University of Catanzaro  Catanzaro Italy"},{"name":"Department of Colorectal Surgery Clinica S. Rita  Vercelli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragomir","family":"Dardanov","sequence":"additional","affiliation":[{"name":"University Hospital Alexandrovska, Sofia Medical University  Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saulius","family":"Svagzdys","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery Lithuanian University of Health Sciences  Kaunas Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baljit","family":"Singh","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester  Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Pinkney","sequence":"additional","affiliation":[{"name":"Academic Department of Surgery University of Birmingham and University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8322-6421","authenticated-orcid":false,"given":"Gianluca","family":"Pellino","sequence":"additional","affiliation":[{"name":"Department of Advanced Medical and Surgical Sciences Universit\u00e0 Degli Studi Della Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"},{"name":"Department of General and Abdominal Surgery, Colorectal Unit Vall d'Hebr\u00f3n University Hospital, Universitat Autonoma de Barcelona UAB  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7688-5018","authenticated-orcid":false,"given":"James","family":"Glasbey","sequence":"additional","affiliation":[{"name":"Academic Department of Surgery University of Birmingham and University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5368-582X","authenticated-orcid":false,"given":"Gabrielle","family":"van Ramshorst","sequence":"additional","affiliation":[{"name":"Ghent University Hospital  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Chaudhri","sequence":"additional","affiliation":[{"name":"University Hospitals Leicester  Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4753-1832","authenticated-orcid":false,"given":"Matteo","family":"Frasson","sequence":"additional","affiliation":[{"name":"Universitary Hospital La Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Pata","sequence":"additional","affiliation":[{"name":"University of Calabria (UNICAL)  Rende Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dion","family":"Morton","sequence":"additional","affiliation":[{"name":"Academic Department of Surgery University of Birmingham and University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles H.","family":"Knowles","sequence":"additional","affiliation":[{"name":"National Centre for Bowel Research and Surgical Innovation and GI Physiology Unit, Barts and the London School of Medicine and Dentistry Queen Mary University of London  London UK"},{"name":"Colorectal Surgery Department Cleveland Clinic London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"European Society of Coloproctology (ESCP) 2022 Collaborating Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"9","volume-title":"Rome IV: Functional gastrointestinal disorders \u2013 Disorders of gut\u2010brain interaction","author":"Douglas AD","year":"2016"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.01.062"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-98381-9_18"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2003.10.010"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ueg2.12213"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002776"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.23922\/jarc.2020-079"},{"key":"e_1_2_12_9_1","unstructured":"Recommendations | Faecal incontinence in adults: management | Guidance | NICE. 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