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The SECCA procedure for faecal incontinence: a review
M Frascio1, F Mandolfino, M Imperatore
1Patologia Chirurgica ad Indirizzo Gastroenterologico, DISC-Department of Surgical Sciences and Integrated Methodologies, School of Medical and Pharmaceutical Sciences, University of Genova, Genova, Italy.
Summary
Radiofrequency energy treatment using the SECCA system effectively manages mild-to-moderate fecal incontinence. Appropriate patient selection leads to significant symptom improvement and enhanced quality of life.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Medical Device Technology
Background:
- Fecal incontinence affects a significant patient population, impacting quality of life.
- The SECCA system, utilizing radiofrequency energy, emerged as a treatment option in 2002.
- Previous clinical studies have explored radiofrequency energy for fecal incontinence management.
Purpose of the Study:
- To systematically review published clinical series on the SECCA system for fecal incontinence.
- To assess the efficacy and outcomes of radiofrequency energy treatment for fecal incontinence.
Main Methods:
- A systematic review of twelve published studies was conducted.
- Outcomes evaluated included quality of life, Wexner incontinence scores, anorectal manometry, and endoanal ultrasound findings.
- Data from 220 patients across ten studies were analyzed.
Main Results:
- The SECCA procedure demonstrated effectiveness in treating mild-to-moderate fecal incontinence in the majority of included studies.
- Statistically significant reductions in Wexner incontinence scores were observed.
- Improvements in quality of life scores were also noted.
Conclusions:
- The SECCA system is an effective treatment for carefully selected patients with fecal incontinence.
- Appropriate patient selection is crucial for achieving clinically significant improvements in symptoms.
- The treatment offers a viable option for managing fecal incontinence, improving patient outcomes.
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