Implantation of microballoons in the management of fecal incontinence
作者:
Christos Feretis,
Paul Benakis,
Apostolos Dailianas,
Christos Dimopoulos,
Constantinos Mavrantonis,
Konstantinos Stamou,
Andreas Manouras,
Nickolaos Apostolidis,
George Androulakis,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 2001)
卷期:
Volume 44,
issue 11
页码: 1605-1609
ISSN:0012-3706
年代: 2001
出版商: OVID
关键词: Fecal incontinence;Microballoons;Endoscopic treatment
数据来源: OVID
摘要:
PURPOSE:The implantation of expandable microballoons has proved successful for the treatment of stress urinary incontinence. This led us to test its effectiveness in the treatment of severe fecal incontinence.METHODS:Six patients (four male), of average age of 43 (range, 29‐60) years, with severe fecal incontinence, underwent implantation of expandable microballoons in the submucosa of the anal canal. The implantation was performed under intravenous sedation as an outpatient procedure. Anal manometry, endosonography, and incontinence assessment with a scoring system were performed before and after the implantation.RESULTS:With a mean follow‐up of 8.6 (range, 7‐12) months, the incontinence scores improved in all patients from an average of 16.16 (standard deviation: ± 1.6) before the implantation to an average of 5 (standard deviation: ± 1.26) after the procedure. The anal pressure at rest was not improved in any patient (mean: 50.16 before treatment to a mean of 53 after treatment). No significant adverse events were associated with the procedure, and no serious postim‐plantation complications were noted.DISCUSSION:Anal implantation of expandable microballoons seems to be a simple, safe, and effective method that restores the fecal continence without hindering normal defecation.
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