**7.4 Fecal incontinence: mild – 17%; severe – 3.7%**

Mild fecal incontinence is a common complication of IPAA and seems to worsen with time [37].

Mild and severe fecal incontinence during the day: 17 and 3.7% of patients, respectively.

(Incontinence during the night: 13.1 and 4.5%; urge incontinence during the day: 7.3%).

At 12 months post-IPAA, it has been reported that 19% of patients suffered occasional daytime incontinence, and 49% suffered nocturnal incontinence [7]. Consequently, this can have a significantly negative impact on the quality of life of patients. The evidence to support the use of SNS for fecal incontinence after IPAA remains very limited.
