🚽 Wexner Score (Faecal Incontinence)
Grade faecal incontinence severity with the Wexner (Cleveland Clinic) score.
Clinical takeaway
≥ 10 usually reflects clinically significant impairment.
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When to use
Quantify and monitor faecal incontinence.
How it works
Five items (solid, liquid, gas, pad use, lifestyle) scored 0–4; total 0 (continent) to 20 (complete incontinence).
Key points
- ≥ 10 usually reflects clinically significant impairment.
- Useful to track treatment response.
- Pair with quality-of-life assessment.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Solid stool incontinence | Never (0) |
|---|---|
| Liquid stool incontinence | Never (0) |
| Gas incontinence | Never (0) |
| Wears a pad | Never (0) |
| Lifestyle alteration | Never (0) |
→Wexner0/20
- Interpretation：Perfect continence
- Note：0 = perfect continence, 20 = complete incontinence; ≥ 10 usually reflects clinically significant impairment.
| Solid stool incontinence | Always ≥ 1/day (4) |
|---|---|
| Liquid stool incontinence | Always ≥ 1/day (4) |
| Gas incontinence | Always ≥ 1/day (4) |
| Wears a pad | Always ≥ 1/day (4) |
| Lifestyle alteration | Always ≥ 1/day (4) |
→Wexner20/20
- Interpretation：Severe incontinence
- Note：0 = perfect continence, 20 = complete incontinence; ≥ 10 usually reflects clinically significant impairment.
Frequently asked questions
- What is Wexner Score (Faecal Incontinence)?
- Grade faecal incontinence severity with the Wexner (Cleveland Clinic) score.
- How is Wexner Score (Faecal Incontinence) calculated? What is the core formula?
- Five items (solid, liquid, gas, pad use, lifestyle) scored 0–4; total 0 (continent) to 20 (complete incontinence).
- When is Wexner Score (Faecal Incontinence) used?
- Quantify and monitor faecal incontinence.
- What are the key clinical points for Wexner Score (Faecal Incontinence)?
- ≥ 10 usually reflects clinically significant impairment. Useful to track treatment response. Pair with quality-of-life assessment.
- What are the limits and cautions when using Wexner Score (Faecal Incontinence)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- How is Wexner Score (Faecal Incontinence) calculated in practice? Can you show a worked example?
- Inputs: Solid stool incontinence Never (0), Liquid stool incontinence Never (0), Gas incontinence Never (0), Wears a pad Never (0), Lifestyle alteration Never (0) → Result: Wexner 0 /20（Interpretation: Perfect continence, Note: 0 = perfect continence, 20 = complete incontinence; ≥ 10 usually reflects clinically significant impairment.） Inputs: Solid stool incontinence Always ≥ 1/day (4), Liquid stool incontinence Always ≥ 1/day (4), Gas incontinence Always ≥ 1/day (4), Wears a pad Always ≥ 1/day (4), Lifestyle alteration Always ≥ 1/day (4) → Result: Wexner 20 /20（Interpretation: Severe incontinence, Note: 0 = perfect continence, 20 = complete incontinence; ≥ 10 usually reflects clinically significant impairment.）