Radio-Frequency Energy Delivery to the Anal Canal for the Treatment of Fecal Incontinence

Takahashi, Takeshi; García-Osogobio, Sandra; Valdovinos, Miguel A.; Mass, Wilbert; Jiménez, Ramiro; Jauregui, Luis Alfonso; Bobadilla, Juan R.; Belmonte, Carlos; Edelstein, Peter S.; Utley, David S.

doi:10.1007/s10350-004-6328-4

Cited by 96 publications

(45 citation statements)

References 31 publications

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“…Unlike RF tissue ablation, a technique used to necrose and/or shrink tissue in the treatment of disorders such as menorrhagia and benign prostatic hyperplasia, respectively, RF micro-remodeling utilizes lower temperatures to denature collagen in microscopic sites. RF micro-remodeling results in a change in luminal function (dynamic compliance) [Takahashi et al, 2002;Lufti et al, 2004;Portale et al, 2004] but does not produce gross anatomic narrowing or thickening. Extensive animal studies have demonstrated the safety and feasibility of non-surgical, transurethral, palpation-based RF micro-remodeling of lower urinary tract submucosa (unpublished data).…”

Section: Introductionmentioning

confidence: 99%

Transurethral radiofrequency energy collagen micro‐remodeling for the treatment of female stress urinary incontinence

Appell

Juma²,

Wells³

et al. 2006

Neurourology and Urodynamics

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Non-surgical, transurethral RF micro-remodeling is a safe treatment for women with SUI. In women with moderate to severe SUI, this novel therapy resulted in statistically significant improvement in quality of life of a magnitude associated with patient satisfaction with the treatment. Women who underwent RF micro-remodeling demonstrated a statistically significant elevation in mean LPP at 12 months.

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Section: Introductionmentioning

confidence: 99%

Transurethral radiofrequency energy collagen micro‐remodeling for the treatment of female stress urinary incontinence

Appell

Juma²,

Wells³

et al. 2006

Neurourology and Urodynamics

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“…In our group of incontinent patients, only 12 (18%) ultimately underwent sphincter repair. Two patients were later referred for sacral neuromodulation elsewhere and eleven patients [22] were treated with SECCA ® (radio frequent energy application to the external sphincter [23,24] ). Women who experienced a 3 rd degree sphincter rupture are indicated for AFE, even without complaints.…”

Section: Discussionmentioning

confidence: 99%

Referral for anorectal function evaluation is indicated in 65% and beneficial in 92% of patients

Szojda

Tanis²,

Mulder³

et al. 2008

WJG

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AIM:To determine the indicated referrals to a tertiary centre for patients with anorectal symptoms, the effect of the advised treatment and the discomfort of the tests. METHODS:In a retrospective study, patients referred for anorectal function evaluation (AFE) between May 2004 and October 2006 were sent a questionnaire, as were the doctors who referred them. AFE consisted of anal manometry, rectal compliance measurement and anal endosonography. An indicated referral was defined as needing AFE to establish a diagnosis with clinical consequence (fecal incontinence without diarrhea, 3 rd degree anal sphincter rupture, congenital anorectal disorder, inflammatory bowel disease with anorectal complaints and preoperative in patients for re-anastomosis or enterostoma, anal fissure, fistula or constipation). Anal ultrasound is always indicated in patients with fistula, anal manometry and rectal compliance when impaired continence reserve is suspected. The therapeutic effect was noted as improvement, no improvement but reassurance, and deterioration. RESULTS:From the 216 patients referred, 167 (78%) returned the questionnaire. The referrals were indicated in 65%. Of these, 80% followed the proposed advice. Improvement was achieved in 35% and a reassurance in 57% of the patients, no difference existed between patient groups. On a VAS scale (1 to 10) symptoms improved from 4.0 to 7.2. Most patients reported no or little discomfort with AFE. CONCLUSION:Referral for AFE was indicated in 65%. Beneficial effect was seen in 92%: 35% improved and 57% was reassured. Advice was followed in 80%. Better instruction about indication for AFE referral is warranted.

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“…Patients are discharged in accordance with the criteria required for conscious sedation in an ambulatory setting or general anesthesia if so performed. 5 performed the initial clinical trial in which the feasibility, safety, and efficacy of the concept of RF energy delivery to the anal canal for the treatment of fecal incontinence was investigated. Ten women, with incontinence of varying etiologies, were treated with this device.…”

Section: Techniquementioning

confidence: 99%

The Secca^®Procedure for the Treatment of Fecal Incontinence: Definitive Therapy or Short-Term Solution

Parisien

Corman

2005

Clinics in Colon and Rectal Surgery

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The treatment of fecal incontinence by means of radiofrequency energy is based on the concept that collagen deposition and subsequent scarring may increase one's ability to recognize and retain stool and permit improved continence. The procedure is undertaken on an outpatient basis. Individuals may be considered candidates even if they have a potentially reparable defect since the technique does not limit one to the application of a subsequent procedure. Clearly, those for whom other treatment methods have failed and those who have no other reasonable option in the management of their fecal incontinence should be considered for this procedure. Preliminary results are quite encouraging, and the results of a prospective, sham-controlled, randomized clinical trial are awaited.

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Radio-Frequency Energy Delivery to the Anal Canal for the Treatment of Fecal Incontinence

Cited by 96 publications

References 31 publications

Transurethral radiofrequency energy collagen micro‐remodeling for the treatment of female stress urinary incontinence

Transurethral radiofrequency energy collagen micro‐remodeling for the treatment of female stress urinary incontinence

Referral for anorectal function evaluation is indicated in 65% and beneficial in 92% of patients

The Secca^®Procedure for the Treatment of Fecal Incontinence: Definitive Therapy or Short-Term Solution

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Radio-Frequency Energy Delivery to the Anal Canal for the Treatment of Fecal Incontinence

Cited by 96 publications

References 31 publications

Transurethral radiofrequency energy collagen micro‐remodeling for the treatment of female stress urinary incontinence

Transurethral radiofrequency energy collagen micro‐remodeling for the treatment of female stress urinary incontinence

Referral for anorectal function evaluation is indicated in 65% and beneficial in 92% of patients

The Secca®Procedure for the Treatment of Fecal Incontinence: Definitive Therapy or Short-Term Solution

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The Secca^®Procedure for the Treatment of Fecal Incontinence: Definitive Therapy or Short-Term Solution