The SECCA procedure for faecal incontinence: a review. (March 2014)

• Record Type: Journal Article
• Authors: Frascio, M.; Mandolfino, F.; Imperatore, M.; Stabilini, C.; Fornaro, R.; Gianetta, E.; Wexner, S. D.
• Is Part Of: Colorectal disease. Volume 16:Number 3(2014)
• Page Start: 167
• Page End: 172
• Publication Date: 2014-03
• Subjects: Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.12403
• Languages: English
• ISSNs: 1462-8910

Abstract

<abstract abstract-type="main" id="codi12403-abs-0001"> <title>Abstract</title> <sec id="codi12403-sec-0001" sec-type="section"> <title>Aim</title> <p>The SECCA system is a treatment option for patients with faecal incontinence and was introduced into clinical practice in 2002. Clinical studies of radiofrequency energy to treat patients with faecal incontinence have been published. This article aimed to review all published series to assess the results of this treatment.</p> </sec> <sec id="codi12403-sec-0002" sec-type="section"> <title>Method</title> <p>Twelve studies were included. Outcomes analysed included quality of life, the Wexner incontinence score, anorectal manometry and endoanal ultrasound findings.</p> </sec> <sec id="codi12403-sec-0003" sec-type="section"> <title>Results</title> <p>A total of 220 patients from 10 studies were included. In the majority of clinical studies, the SECCA procedure has been shown to be an effective treatment of mild‐to‐moderate faecal incontinence.</p> </sec> <sec id="codi12403-sec-0004" sec-type="section"> <title>Conclusion</title> <p>When patient selection is appropriate, this treatment has demonstrated clinically significant improvements in symptoms, as demonstrated by statistically significant reductions in the Wexner incontinence and quality of life scores.</p> </sec> </abstract>