The magnetic anal sphincter in faecal incontinence: is initial success sustained over time?

Aim In the short term, implantation of a magnetic anal sphincter (MAS) is a safe and effective treatment for faecal incontinence (FI). In this paper we show that the initial results stand the test of time and patient satisfaction remains high in the medium term. Method Data on 23 women [median age 6...

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Bibliographic Details
Published in:Colorectal disease 2013-12, Vol.15 (12), p.1499-1503
Main Authors: Barussaud, M.-L., Mantoo, S., Wyart, V., Meurette, G., Lehur, P.-A.
Format: Article
Language:English
Subjects:
Adult
Aged
Anal Canal - surgery
Cohort Studies
device
Faecal incontinence
Fecal Incontinence - surgery
Female
follow-up
Humans
Longitudinal Studies
magnetic anal sphincter
Magnets
Middle Aged
Patient Satisfaction
Prospective Studies
Prostheses and Implants
Quality of Life
Severity of Illness Index
success rate
Treatment Outcome
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Summary:Aim In the short term, implantation of a magnetic anal sphincter (MAS) is a safe and effective treatment for faecal incontinence (FI). In this paper we show that the initial results stand the test of time and patient satisfaction remains high in the medium term. Method Data on 23 women [median age 64 (35–78) years] implanted with a MAS device between December 2008 and September 2012 were reviewed from a prospective database. Assessment was based on significant improvement of incontinence scores – the Cleveland Clinic Florida Incontinence Severity (CCF‐IS) score, Faecal Incontinence Quality of Life (FIQoL) score – and patient satisfaction at 6, 12, 24 and 36 months after surgery. Results The device was removed in two patients owing to complications. Median follow‐up was 17.6 months. The median preoperative CCF‐IS score was 15.2 and fell to 6.9, 7.7, 7.8 and 5.3 at 6, 12, 24 and 36 months, respectively. The median FIQoL score significantly (P 
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.12423