SECCA® Procedure for the Treatment of Fecal Incontinence: Results of Five-Year Follow-Up

Abstract

Significant and sustained improvements in fecal incontinence symptoms and quality of life are seen at five years after treatment with the SECCA system. This treatment should be considered for patients suffering from fecal incontinence not amenable to surgery and who have failed conservative management.

Evaluation of an Anal Insert Device for the Conservative Management of Fecal Incontinence

“…19 there are many treatment options for fi, including pelvic floor exercises with biofeedback, alteration of stool consistency through the modification of diet and medication, inflatable or expandable anal plugs, injection of bulking agents, radiofrequency energy sphincter reformation, neuromodulation, anal sphincter surgery, and neosphincter procedures. [10][11][12][13][14][15][16][17]20 however, the morbidity and financial cost of each alternative are variable, must be balanced against long-term efficacy, and considered in the context of the individual patient's general health, degree of incontinence, and insurance coverage. Biofeedback and pelvic floor/anal sphincter muscle exercise therapy are designed to enhance sensory and motor capabilities to help patients improve control of the anal sphincter and have demonstrated 60% to 70% efficacy.…”

“…[10][11][12] other approaches include the injection of bulking agents, radiofrequency energy sphincter reformation, neuromodulation, anal sphincter surgery, and neosphincter operations (artificial bowel sphincter, magnetic anal sphincter implantation, and stimulated or adynamic muscle transfers). [13][14][15][16][17] these treatments must be considered in the context of their morbidity and efficacy profiles and balanced with the individual patient's general health, severity of fi, and insurance coverage. We evaluated an alternate therapy for those who had fi and hypothesized that continuous use of the anal insert would result in significant reductions in fi frequency and severity.…”

Calidad de vida en pacientes con incontinencia fecal y su relación con la gravedad de la misma

“…Por otra parte, la puntuación del SF-36 para el CSM fue más bajo que para el CSF, lo cual refuerza el hecho de que los aspectos emocionales y psicológicos de la calidad de vida están intensamente afectados en la IF 18 . Este hecho parece comprensible, ya que la mayoría de las alteraciones en la calidad de vida de la IF son de tipo social y emocional.…”

Fecal Incontinence: Etiology, Diagnosis, and Management

“…41 Using the Cleveland Clinic Fecal Incontinence Scoring, one study reported an 80 % response rate to SECCA ® at 12 months with persistent improvement at 5 years. 42,43 Efron et al 44 reported the SECCA ® procedure to be safe with minimal complications. They found an improvement in the Cleveland Clinic Fecal Incontinence score from 14.5 to 11.1 with improvements in all parameters in the FIQL.…”