Patients with spina bifida who experience fecal incontinence are in a relatively severe condition. In such cases, it is best to actively pursue surgical treatment to prevent further progression of the condition. This includes suturing the dura mater of the corresponding spinal defect, repositioning the spinal cord, and appropriately repairing the bone structure, all of which are very important. Additionally, it may be possible to partially restore bowel function, but complete recovery is not guaranteed. If there is no significant improvement later on, a colostomy might be considered. This involves creating an opening in the abdominal wall, forming a stoma, and using an artificial method for bowel movement. This can help reduce contamination and restore some bowel function.