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Healing anal implant

Fecal incontinence, the loss of anal sphincter control leading to the unwanted release of stool or gas, is a physical and psychological handicap that has a tremendous impact on an individual's quality of life. Although medical management is the mainstay of therapy for fecal incontinence, the main focus in this review is on invasive techniques with a goal of highlighting newer technologic and therapeutic advancements. While the standard surgical treatment for fecal incontinence still remains direct sphincter repair with an overlapping sphincteroplasty, this review concentrates specifically on biofeedback, the Procon incontinence device, local injection of synthetic materials, radio frequency energy Secca procedure , antegrade colonic enemas, sphincteroplasty, gluteoplasty, graciloplasty both stimulated and non-stimulated, the artificial bowel sphincter, and sacral nerve stimulation. Aside from embarrassment, fecal incontinence can cause progressive isolation with a devastating emotional impact. Even episodic fecal incontinence can have a profound impact on an individual's self-confidence and personal image. From a societal point of view, fecal incontinence is the second most common cause of institutionalization in the United States. A number of authors have attempted to evaluate the true dollar cost of fecal incontinence.
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Artificial Anal Sphincter in Severe Fecal Incontinence

Healing anal implant
Healing anal implant
Healing anal implant
Healing anal implant
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New Options for the Treatment of Fecal Incontinence

Artificial sphincter insertion surgery is the implantation of an artificial valve in the genitourinary tract or in the anal canal to restore continence and psychological well being to individuals with urinary or anal sphincter insufficiency that leads to severe urinary or fecal incontinence. This procedure is useful for adults and children who have severe incontinence due to lack of muscle contraction by either the urethral sphincter or the bowel sphincter. The primary work of the lower urinary tract and the colon is the storage of urine and waste, respectively, until such time as the expulsion of urine or feces is appropriate. These holding and expelling functions in each system require a delicate balance of tension and relaxation of muscles, especially those related to conscious control of the act of urination or defecation through the valve-like sphincter in each system. Both types of incontinence have mechanical causes related to reservoir adequacy and sphincter, or "gatekeeper" control, as well as mixed etiologies in the chemistry, neurology, and psychology of human makeup. The simplest bases of incontinence lie in the mechanical components of reservoir mobility and sphincter muscle tone.
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New Options for the Treatment of Fecal Incontinence

The Fenix Continence Restoration System consists of small titanium beads strung together on a titanium string. It mimics the anal sphincter. Cleveland Clinic is a non-profit academic medical center.
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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Treatment of anal incontinence AI remains a challenge - although conservative treatment can reduce the severity of many patients' AI, many continue to experience symptoms that severly affect their quality of life and ability to function properly both socially and professionally. The level of AI is measured with the St Marks score ranging from where zero is complete continence. Some patients with AI are shown to have defects in the anal sphincters i. These procedures are effective but carry substantial risk for postoperative infection, and the healing process is painful.
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