Wexner (Cleveland Clinic Florida) Faecal Incontinence Score
Cleveland Clinic Florida (Jorge–Wexner) score of faecal incontinence severity: frequency of incontinence to gas, liquid and solid stool, pad wearing and lifestyle alteration, each 0–4.
Score interpretation
Score 0 — perfect continence
→ No intervention required
Score 1–19 — severity rises with the score (0 perfect, 20 complete incontinence); the original score sets no mild/moderate/severe cut-offs. Use it to track change over time.
→ Conservative management: dietary modification, pelvic floor exercises, biofeedback; colorectal referral if persistent; anorectal physiology and endoanal ultrasound before surgical options
Score 20 — complete incontinence
→ Colorectal surgery review; investigate aetiology (anal manometry, endoanal ultrasound); surgical options (sphincteroplasty, SNS, colostomy)
Interpretation bands for the Wexner Score. Apply clinical judgement and local guidance.
References
- Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993;36(1):77–97.
Related
Curated clinical cross-links plus same-class fallbacks.
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.