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Related Experiment Videos

Anal plug for faecal incontinence.

C Norton1, M A Kamm

  • 1Physiology Unit, St Mark's Hospital, Harrow, Middx, UK. csnorton@aol.com

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|June 7, 2003
PubMed
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A new anal plug device shows promise for managing fecal incontinence, effectively controlling symptoms in a minority of patients who can tolerate its use. Further evaluation quickly determines patient suitability for this innovative management option.

Area of Science:

  • Gastroenterology
  • Medical Devices
  • Patient Management

Background:

  • Pharmacological, behavioral, and surgical treatments for fecal incontinence often leave patients symptomatic.
  • Existing devices are limited, and traditional perineal pads are frequently inefficient and unacceptable.
  • Intractable fecal incontinence necessitates novel management solutions.

Purpose of the Study:

  • To evaluate the efficacy and tolerability of a new, purpose-designed anal plug for patients with intractable fecal incontinence.
  • To assess patient acceptance and identify potential predictors of successful use.

Main Methods:

  • A cohort of 20 patients with intractable fecal incontinence participated in the study.
  • Two sizes of the anal plug were tested over two-week periods.

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  • Patients completed structured questionnaires to report comfort and efficacy.

    • Main Results:

    • The majority of patients (14/20) experienced discomfort and could not tolerate the anal plug.
    • A minority (20% regularly, 10% occasionally) found the plug effective and wished to continue use.
    • The device demonstrated high success in controlling fecal incontinence for those who could tolerate it.
    • No association was found between plug comfort and anorectal sensitivity; prediction of benefit was not possible.

    Conclusions:

    • The anal plug is an effective option for controlling fecal incontinence in a select group of patients.
    • Patient tolerance and efficacy can be rapidly assessed through a short evaluation period.
    • This device offers a valuable additional management strategy for intractable fecal incontinence.