Unwanted anal penetration as a physical cause of faecal incontinence

Abstract

Objective: To investigate sexual abuse as a cause of faecal incontinence. Patients: Seven patients (two men and five women) with a history of sexual abuse, including anal penetration, and faecal incontinence. Methods: Anorectal physiological techniques and anal endosonography were used for patient assessment. Results: All seven patients had evidence of internal sphincter disruption and three had additional external anal sphincter dysfunction. Conclusion: Unwanted anal penetration can cause permanent structural anal sphincter damage.