Table 1 Modified clinical scoring for defecation function (Japanese study group of anorectal anomalies)

A - Sensation score:

 The ability of the child to express the desire to go to the toilet to defecate

 1 always sensible, sometimes lost

 0 always insensible

B - Constipation score:

 1 no constipation, infrequent use of laxatives and enemas

 0 daily use of laxatives and enemas, or requiring finger evacuation of stools to empty the rectum

C- Soiling score:

 The presence of stool stain on underwear/diaper in between movements

 1 no soiling, only at diarrhea, or infrequent (once or less per week)

 0 frequent (twice or more per week) or daily soiling