PURPOSE/RATIONALE: Use of an absorbent product is a self-care strategy for managing fecal incontinence (FI) that offers protection against visible, embarrassing soiling. Most absorbent products are designed for urinary or menstrual leakage and are in the form of a pad/brief. Leaked loose/liquid feces can remain between the buttocks and cause dermatitis; many men with FI do not wear a pad. The purpose of this study was to examine use of a small anorectal surgical dressing for absorbing leaked feces. METHODS: A survey about use of a gauze anorectal dressing and quality of life, a FI severity index, and $5 was mailed to 75 randomly selected community-living people (56% male) in 25 states and D.C. who had ordered the dressing from the manufacturer within the past year. No identifying information was requested. RESULTS: 36 people (57% male, age=55(16) yrs. (mean (SD)), 94% white) responded. 77% (n=28) had FI and 21% also leaked urine. FI severity score = 28(14) (mean (SD)): 79% leaked loose/liquid feces, 50% leaked feces daily, and, leaked feces remained between the buttocks in 64%. Of those with FI who used the anorectal dressing to absorb leaked stool (50% male, age=56(15) yrs.), 96% (n=27) did so daily. One dressing was typically worn between the buttocks, and its ability to stay in place was rated good or very good by 78%. The anorectal dressing was preferred over a pad by 92% and prevented soiling of underwear in 88%. 80% rated its comfort good or very good; 85% rated its overall effectiveness as good or very good. Use of the dressing lessened anxiety about fecal soiling in 81% and was thought to improve quality of life in 76%. CONCLUSION: An anorectal dressing offers an effective, comfortable alternative to a pad for absorbing leaked stool that seems acceptable to some men.