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Wexner score (fecal incontinence)

Measures anal incontinence severity from 0 (perfect continence) to 20 (complete incontinence), using the frequency of 5 items. It is the most widely used score for monitoring treatment.

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Check the population, units and version. The result shows the formula or classification; it does not make an automatic treatment decision.

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Method · Limits of application

Cleveland Clinic/Wexner Jorge 1993: 5 items 0–4, total 0–20; fecal incontinence

Reported fecal incontinence severity does not define its cause or treatment. The original review emphasizes history, examination and pretreatment physiological assessment. The scale and its frequencies must be applied according to the version; the total does not replace assessment of anorectal function.

Required fields: 0/5 completed

Complete all required fields. Optional fields are marked.

Solid stool leakage required

Liquid stool leakage required

Gas leakage required

Use of pad or liner required

Lifestyle alteration required

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

Solid stool leakage
Liquid stool leakage
Gas leakage
Use of pad or liner
Lifestyle alteration

3/3 reference cases checked. Numerical tests are not clinical validation.

Sources and documentation

Documented formula

Transcribed from the source or a recorded revision; this is not a clinical recommendation.

Each of the 5 items receives 0 to 4 by frequency: never (0); rarely, less than 1 time per month (1); sometimes, less than 1 time per week and 1 or more per month (2); usually, less than 1 time per day and 1 or more per week (3); always, 1 or more times per day (4).

Total from 0 (perfect continence) to 20 (complete incontinence).

References

Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum, 1993.

Identifier: escore-de-wexner

Original clinical content: Brazilian Portuguese.

Method version

Cleveland Clinic/Wexner Jorge 1993: 5 items 0–4, total 0–20; fecal incontinence

escore-de-wexner@native-2026-10-03+f3749af8120c

Source for the active edition

The bibliographic edition identifies the source. By itself, it proves neither full conformity of the formula nor clinical approval.

Synthetic cases checked (3)

Synthetic cases for checking the implementation, with no patient data.

Case 1

reference-001

Inputs

Solid stool leakage: Never
Liquid stool leakage: Never
Gas leakage: Never
Use of pad or liner: Never
Lifestyle alteration: Never

{
  "solido": "0",
  "liquido": "0",
  "gas": "0",
  "protetor": "0",
  "estilo": "0"
}

Expected result

{
  "score": 0,
  "level": "low"
}

Actual result

{
  "score": 0
}

Case 2

reference-002

Inputs

Solid stool leakage: Never
Liquid stool leakage: Sometimes (less than once a week, once or more a month)
Gas leakage: Usually (less than once a day, once or more a week)
Use of pad or liner: Always (1 or more times per day)
Lifestyle alteration: Sometimes (less than once a week, once or more a month)

{
  "solido": "0",
  "liquido": "2",
  "gas": "3",
  "protetor": "4",
  "estilo": "2"
}

Expected result

{
  "score": 11,
  "level": "mid"
}

Actual result

{
  "score": 11
}

Case 3

reference-003

Inputs

Solid stool leakage: Always (1 or more times per day)
Liquid stool leakage: Always (1 or more times per day)
Gas leakage: Always (1 or more times per day)
Use of pad or liner: Always (1 or more times per day)
Lifestyle alteration: Always (1 or more times per day)

{
  "solido": "4",
  "liquido": "4",
  "gas": "4",
  "protetor": "4",
  "estilo": "4"
}

Expected result

{
  "score": 20,
  "level": "mid"
}

Actual result

{
  "score": 20
}

Code and reproducibility

This tool’s code on GitHub

Download code and tests

Sources, version and reproduction instructions

The code tests are technical checks. Clinical approval and professional translation review are recorded separately.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.