Sacral neuromodulation emerges as the gold standard for fecal incontinence.

Fecal incontinence, a common yet often overlooked condition, can be managed surgically when conservative treatments fail. This review highlights that sacral neuromodulation (SNM) has established itself as the first-line treatment option due to its high success rates and minimal invasiveness. In contrast, sphincteroplasty is only advisable for specific patients with anal sphincter lesions and shows moderate long-term success. The evolving treatment landscape underscores the limitations in surgical options available for fecal incontinence management.