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===Rectal hyposensitivity=== Rectal sensation is required to detect the presence, nature, and amount of rectal contents.<ref name="hoffmann 1995" /> Reduced rectal sensation may be a contributory factor. If the sensory nerves are damaged, the detection of stool in the rectum is dulled or absent, and the person will not feel the need to defecate until too late. Rectal hyposensitivity may manifest as constipation, FI, or both. Rectal hyposensitivity was reported to be present in 10% of people with FI.<ref name="Burgell 2012">{{cite journal | vauthors = Burgell RE, Scott SM | title = Rectal hyposensitivity | journal = Journal of Neurogastroenterology and Motility | volume = 18 | issue = 4 | pages = 373β384 | date = October 2012 | pmid = 23105997 | pmc = 3479250 | doi = 10.5056/jnm.2012.18.4.373 }}</ref> Pudendal neuropathy is one cause of rectal hyposensitivity and may lead to fecal loading or impaction, [[megarectum]] and overflow FI (see [[#Overflow_incontinence|overflow incontinence]]).<ref name="Rao 2004">{{cite journal | vauthors = Rao SS | title = Pathophysiology of adult fecal incontinence | journal = Gastroenterology | volume = 126 | issue = 1 Suppl 1 | pages = S14βS22 | date = January 2004 | pmid = 14978634 | doi = 10.1053/j.gastro.2003.10.013 | doi-access = free }}</ref>
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