Wexner Score for Obstructed Defecation Syndrome (ODS)
Wexner Score (Fecal Incontinence)
Incontinence to Solid Stool
Incontinence to Liquid Stool
Incontinence to Gas
Wears Pad
Lifestyle Alteration
Score:–
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Stratifies severity of fecal incontinence.
Formula
Addition of the selected points: Type of incontinence Frequency Points Incontinence to solid stool Never 0 Less than once a month 1 Less than once a week but at least once a month 2 Less than once a day but at least once a week 3 At least once a day 4 Incontinence to liquid stool Never 0 Less than once a month 1 Less than once a week but at least once a month 2 Less than once a day but at least once a week 3 At least once a day 4 Incontinence to gas Never 0 Less than once a month 1 Less than once a week but at least once a month 2 Less than once a day but at least once a week 3 At least once a day 4 Wears pad Never 0 Less than once a month 1 Less than once a week but at least once a month 2 Less than once a day but at least once a week 3 At least once a day 4 Lifestyle alteration* Never 0 Less than once a month 1 Less than once a week but at least once a month 2 Less than once a day but at least once a week 3 At least once a day 4 * Defined in the original study only as "the extent to which it alters the patient's life".
Pearls / Pitfalls
Does not account for fecal urgency. Easily understood by patients.
Advice
A focused history should be taken for patients with any degree of incontinence.
More Information
Interpretation: Scores range from 0-20, with 0 indicating perfect continence and 20 indicating complete incontinence.