It´s a very interesting question, could you give us more information about the actual symptons of this patient? In order to make a good advise or opinion.

The patient has fecal incontinence with laxity of the pelvic floor.

Ok, Nicola

Could be a good idea to check the state of pudendal nerve, levator ani muscle and external anal sphincter by neurophysiological tests and rectal ultrasound . Afterwards, we can try with differents approaches:behavioral strategies, include dietary modification which eliminates irritants and adds fiber; bowel retraining strategies to prevent diarrhea and enhance formation of regular bowel movements; Kegel exercises, transanal electrical stimulation and anorectal biofeedback.

Your question is a real challenge.

thank you Fernando,

i'll do it.

you´re wellcome, Nicola