Treatment of fecal incontinence is multifaceted. Supportive measures such as time toileting, incontinence pads and avoiding triggers for diarrhea are preventative actions. Active treatment includes antidiarrheal therapy, bulking agents such as methyl cellulose, pelvic floor physical therapy, surgery, and sacral nerve stimulation (also known as inner stem). Inner stem is a two-stage procedure. I perform stage one here at GIS, which is a seven-day trial stimulation. The electrodes stimulate the sacral nerve, allowing the anal sphincter muscles to stay contracted to prevent leakage of stool. If this is successful, I refer you to a surgeon to undergo permanent placement of the implant. While this is the most invasive therapy we offer, it's also by far the most effective treatment for fecal incontinence. It's a very safe procedure that requires light sedation.