Ryan Stewart, DO
Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026

Can fecal incontinence be cured?

Most women with fecal incontinence can achieve significant improvement, and many reach a point where symptoms no longer interfere with daily life. The right treatment depends on the underlying cause.

Treatment options

Conservative approaches (first-line):

Dietary modifications, including fiber supplementation, avoiding trigger foods, and achieving optimal stool consistency
Pelvic floor physical therapy with biofeedback training to strengthen the anal sphincter and improve coordination
Medications such as anti-diarrheal agents to firm stool consistency

Advanced treatments:

Sacral neuromodulation, sometimes called a “bowel pacemaker,” is an implanted device that regulates the nerves controlling bowel function. It’s FDA-approved for fecal incontinence with high success rates.
Sphincter repair surgery is rarely recommended due to lack of long-term durability, painful recovery, and high risk of infection.

Dr. Stewart’s perspective

“The approach depends on what’s causing the problem. If the nerves are the issue, sacral neuromodulation is excellent — and it’s one of the most satisfying treatments I offer, because the improvement is often dramatic. For many women, pelvic floor therapy and dietary management provide substantial relief. I almost never recommend sphincter repair — the long-term results just aren’t there.”

← Learn more about Fecal Incontinence

Frequently Asked Questions

What is the most effective treatment for fecal incontinence?

Pelvic floor therapy with diet and lifestyle changes is first-line and helps most women. Sacral neuromodulation — sometimes called a bowel pacemaker — has excellent results and is also considered first-line. Sphincter repair is rarely performed due to poor long-term durability, painful recovery, and high infection risk.

How long does treatment take to work?

Dietary changes and medications can show results within weeks. Pelvic floor therapy typically takes 2-3 months. Sacral neuromodulation provides improvement during the trial period.

Will I need treatment forever?

Some treatments (dietary management, exercises) are ongoing. Sacral neuromodulation provides continuous therapy from the implanted device.