Use of an Absorbent Dressing Specifically for Fecal Incontinence

Abstract

An anorectal dressing offers an effective, comfortable alternative to a pad for absorbing leaked feces that seems acceptable to men.

Use and Evaluation of Disposable Absorbent Products for Managing Fecal Incontinence by Community-Living People

“…The WOC nurse specialist needs to support men in their choice of wearing an absorptive product. Bliss and colleagues 4 previously reported that a surgical gauze dressing was used by individuals with mild fecal incontinence. A few respondents in this study reported placing toilet tissue or gauze between their buttocks instead of wearing a pantiliner or pad; they tended to report leaking a small amount of loose or liquid stool.…”

“…Those with mild incontinence severity, especially men, may place a small gauze dressing between the buttocks to absorb leaked stool. 4 Few absorbent products are specifically designed to absorb stool. Instead, most individuals must “make do” using products designed for urine or menstrual leakage.…”

Acquired fecal incontinence in community-dwelling adults

“…33 A recent study found that a small anorectal dressing was rated highly by both men and women in the areas of soiling prevention, ability to stay in place, comfort, and overall effectiveness. 35 Most important, it provided an acceptable alternative to pads for most males, although it is more expensive. 35 Using over-the-counter oral deodorants such as bismuth subgallate or chlorophyllin copper complex may also help to decrease fecal odor.…”

“…35 Most important, it provided an acceptable alternative to pads for most males, although it is more expensive. 35 Using over-the-counter oral deodorants such as bismuth subgallate or chlorophyllin copper complex may also help to decrease fecal odor. 32 Because anal plugs, rectal trumpets, anal bags, and internal rectal tubes are not frequently used by or readily available to communitydwelling adults, they are not discussed here.…”

“…It is also important to discuss proper skin care if patients are using absorbent products, as these may lead to contact dermatitis and infection, especially in the elderly. 35 It is important to assess for FI severity and its impact on the patient's function and quality of life, as patients are often anxious or depressed about FI and may limit their social and professional activities. 6 At this point, it is also appropriate to assess for the impact of FI on the elderly patient's activities of daily living (ADLs), including continence, toileting, dressing, and transferring.…”