The aim of a study published in the European Journal of Pediatrics was to evaluate the feasibility and efficacy of transanal irrigation (TAI) in the treatment of functional fecal incontinence (FFI). This was a retrospective study which recruited 72 children with a mean age of 9.2 ± 2.2 years of which 47 were males, with treatment-resistant FFI. All children accepted treatment while 25 were titrated to daily sessions. The results disclosed that among 63 children who fulfilled the Rome III criteria of constipation, 46 experienced full response with complete remission of incontinence episodes. On the other hand, 11 showed partial response (≥50% reduction). In addition, of the nine children with FNRFI, four exhibited full response whereas two showed partial response. However, there was no significant difference in the reduction of incontinence episodes between the children with FC (87%) and those with FNRFI (68%). The findings were summarized as follows: TAI is an effective, well-tolerated, and safe choice in children with FC. Although FNRFI was less frequent in children, TAI seemed effective in children with FNRFI.