Safety and Efficacy of Permacol Injection in the Treatment of Fecal Incontinence

Yahya A Al-Abed1, Jennifer Ayers1, Abraham Ayantunde1

  • 1Department of Colorectal Surgery, Southend University Hospital, Westcliff on Sea, United Kingdom.

Abstract

Insights

Permacol injections offer a safe and effective treatment for fecal incontinence (FI), significantly improving patient quality of life. While initial results are promising, repeat injections may be necessary for sustained symptom relief.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Medical Device Technology

Background:

  • Fecal incontinence (FI) significantly impacts quality of life.
  • Permacol injection is an emerging treatment option for FI.
  • Evaluating novel therapeutic approaches for FI is crucial.

Purpose of the Study:

  • To assess the safety and efficacy of anal submucosal Permacol injection for treating fecal incontinence.
  • To determine the long-term outcomes and patient satisfaction following Permacol injection therapy.

Main Methods:

  • A retrospective study included patients undergoing Permacol injection for FI over three years.
  • Data collected included patient demographics, FI type, anorectal physiology, and follow-up outcomes.
  • Cleveland Clinic Florida Incontinence Scores (CCFIS) and telephone surveys were used to evaluate efficacy and quality of life.

Main Results:

  • Thirty patients (28 female, 2 male; median age 67) with various FI types were included.
  • Significant improvement in CCFIS (P < 0.001) was observed post-injection.
  • 89% of surveyed patients reported satisfaction with symptom improvement and overall experience.

Conclusions:

  • Permacol injection is a safe and effective treatment for fecal incontinence with no major complications.
  • While initial responses are positive, the effects may not be permanent, necessitating repeat injections in some patients.
  • Permacol offers a viable option for managing fecal incontinence, improving patient outcomes and satisfaction.

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