[Improvement of fecal incontinence with silicone implants in patients with internal anal sphincter injury: First report in North America].

Abstract

The injection of bulking agents has been described as a useful treatment of urinary and fecal incontinence. Among them, silicone implants have shown benefits in patients with internal anal sphincter (IAS) injury. We describe two patients with a history of hemorrhoidectomy and IAS injuries, which underwent placement of silicone implants. The implants were inserted into the intersphincteric space and the IAS under ultrasound guidance. The Wexner continente score fell from 17 and 19 before treatment, to 6 and 8 at six months follow up, respectively. Patients had no postoperative complications or implants migration. In our patients, injection of silicone implants improved fecal continence score, without postoperative complications or implants migration at six month follow up.

• Authors: O Vergara-Fernández, M A Valdovinos-Díaz, G Hagerman-Ruiz Galindo, L E Salinas-Aragón, M Ruíz-Campos, W Castillo-Machado
• Journal: Revista de gastroenterologia de Mexico (Rev Gastroenterol Mex) 2011 Oct-Dec Vol. 76 Issue 4 Pg. 384-8 ISSN: 0375-0906 [Print] Mexico
• Vernacular Title: Mejoría de la incontinencia fecal con implantes de silicón en pacientes con lesiones del esfínter anal interno: primer informe en Norteamérica.
• PMID: 22188968 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Silicones

Topics

• Adult
• Aged
• Anal Canal
• Fecal Incontinence (surgery)
• Female
• Humans
• Injections
• Male
• North America
• Prostheses and Implants
• Remission Induction
• Silicones (administration & dosage)