Faecal Incontinence Surgery
When is this procedure indicated?
The most common cause of faecal incontinence is a sphincter injury occurred during child delivery (OASIS) and aging. Selection criteria to identify an optimal candidate for incontinence treatment exist and are fully validated in forms of scoring systems and questionnaire for quality of life. Manometry and endo anal ultrasound are currently used to assess the site and severeness of the sphincter lesions.
How is it performed?
Most of the surgical treatments for Incontinence are delivered under loco-regional anesthesia as day surgery cases, even if sometimes they might require few days of hospital admittance.
Sphincteric prosthesis (known as Sphin Keeper) and Electrode implant (SNS) are usually pain-free procedure completed in less than an hour. Specific and precise dedicated instruments are adopted to implant the devices. Surgical reconstruction is a direct suture of the ruptured muscle and require a perianal incision of no more than 4-6 cm that easily heals in 10-15 days. Minimal pain therapy is needed after those procedures.
The length of stay is 2 days. It requires a convalescence of approx. 2 weeks with a quiet life without excessive physical exertion.
Sphincter reconstruction or implant of devices for faecal incontinence are not burdened by a significant rate of side effects or complications. Major or minor pain is an unusual event and surgical site infection or bleeding are extremely rare. Other complications as transitory misplacing, malfunctioning or other technical issues are generally easily resolved without significant impact on the general patient condition or need of re-operation.
Major long-term complication is the recurrence of symptoms.