Fecal incontinence can result from Injuries or diseases of the spinal cord Congenital abnormalities Accidental injuries to the rectum and anus Rectal prolapse (procidentia) Diabetes Severe dementia Fecal impaction Extensive inflammatory processes Tumors Obstetric injuries Operations involving division or dilation of the anal sphincters Diagnosis of Fecal Incontinence Clinical evaluation Sometimes imaging tests, pelvic floor electromyography, and anorectal manometry Physical examination should evaluate gross sphincter function and perianal sensation and rule out a rectal mass or rectal prolapse.