BULKING AGENTS IN FAECAL INCONTINENCE: LONG TERM FOLLOW UP RESULTS

Abstract

Lost of faecal control is a very commune condition. Multifactorial causes can determinate faecal incontinence (sphincterial atrophy/atony, neuropathies, sclerosis, spinal damage, iatrogenic, etc). The quality of live, as well as social and working impacts of faecal incontinence are very important. Many surgical options can be avoid for faecal incontinence treatment. The bulking injectable agents represent the most mini invasive treatment that can lead to healing in same case of faecal incontinence. The technique is performed in local anaesthesia in “day surgery”. It consists in silicon polymer injections directly on weak sphincter points. Preoperative investigations and preparation is easy as well. In our experience we performed on enrolled patients to ano-rectal manometry and transanal ultrasound study with 360° rotating with BK probe. Surprisingly, the results in our experience were higher of expectations. The day after the PTQ (polidimetilstilossano/povidone) implants, near all of the patients claim to be extremely satisfied and able to keep and leak free. The long term follow up demonstrated stable results and patients satisfaction. The PTQ implants procedure can be considered a low cost valid minimally invasive option for faecal incontinence treatment able to lead to healing, reducing social costs, improving patients quality of life.