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Theprevalence of faecal incontinence (FI) is 0.3-18%. Thepresent study investigates the incidence and treatment of FI in our coloproctological centre, as well as the interest of physicians in Dusseldorf in the condition.Thirty-one thousand four hundred and fifty-five patients were treated from October 2005 to April 2010. A retrospective analysis was conducted regarding FI and its treatment. Patients underwent a detailedproctological examination including the Cleveland Clinic Incontinence Score. A questionnaire was sent to 700 physicians of different specialisations to determine the number of patients with FI and the treating physician's awareness of diagnostic and therapeutic options.Three thousand five hundred and four (11%) patients were diagnosed with FI. Initially all patients were treated by conservative management, including biofeedback therapy in 613 cases (17%). A trial of sacral nerve stimulation was performed in 51 patients (1.5%). A permanent neurostimulator was implanted in 22 patients. Eight patients were treated using an artificial bowel sphincter. Twenty-two (3%) of 700 questionaires were returned.The majority of patients (82%) with FI can be treated conservatively. In a small portion of patients (1-2%) surgical treatments were used to avoid colostomy. Interest in FI within the medical community was low, although it is a benign and well manageable condition.