Encopresis is defecating in inappropriate locations.  It is usually manifested as the repeated soiling of clothing in children over the age of toilet training, often with concomitant constipation.  Traditionally it is associated with the psychological concept of being “anal retentive.”  We discuss the natural history, cause, treatment, and continuing adult symptoms.  Our only regret is that it took so long for us to finally release the podcast on this topic.