S-Space College of Medicine/School of Medicine (의과대학/대학원) Radiology (영상의학전공) Journal Papers (저널논문_영상의학전공)
Radiofrequency energy delivery to the anal canal: is it a promising new approach to the treatment of fecal incontinence?
- Kim, Duck-Woo; Yoon, Hong-Man; Park, Jun-Seok; Kim, Young Hoon; Kang, Sung-Bum
- Issue Date
- EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
- AMERICAN JOURNAL OF SURGERY; Vol.197 1; 14-18
- Anorectal manometry; SECCA procedure; Radiofrequency; Endoanal ultrasonography; Fecal incontinence
- BACKGROUND: The present study was conducted to assess the efficacy and safety of the delivery of radiofrequency energy to the anal canal (the SECCA procedure). METHODS: Eight patients with fecal incontinence underwent the SECCA procedure. The Fecal Incontinence Severity Index (FISI) score and the Fecal Incontinence-related Quality of Life (FIQL) scale were completed at baseline and after the procedure. Anorectal manometry and endoanal ultrasound also were conducted. RESULTS: Seven of the 8 patients were women, and the median age of the patients was 59 years (range, 28-73 y). The mean FISI score and all of the parameters in the FIQL scale with the exception of the embarrassment scale measured at 6 months after the procedure was not improved significantly. We observed no changes in the anal manometry and endoanal ultrasound parameters. Complications associated with the procedure developed in 7 of the 8 patients, including anal bleeding, anal pain, and anal mucosal discharge. CONCLUSIONS: The FISI score and FIQL scale were not improved significantly after the SECCA procedure, and considerable complications were associated with the procedure. (C) 2009 Elsevier Inc. All rights reserved.
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