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Sphinkeeper™ for faecal incontinence: a preliminary report
M La Torre1, G Lisi2, G Milito3
1Department of Surgery, Policlinico Umberto Primo, Sapienza University, Rome, Italy.
Summary
The SphinKeeper™ artificial anal sphincter shows promise for treating faecal incontinence (FI). This minimally invasive device improved patient outcomes and reduced incontinence episodes in a short-term study.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Pelvic Floor Disorders
Background:
- Faecal incontinence (FI) significantly impacts quality of life.
- Existing conservative treatments for FI have limitations.
- Artificial anal sphincters offer a potential solution for severe FI.
Purpose of the Study:
- To evaluate the preliminary outcomes of the SphinKeeper™ artificial anal sphincter.
- To compare pre- and post-operative data in patients with faecal incontinence.
- To assess the safety and efficacy of SphinKeeper™ implantation.
Main Methods:
- A cohort of 13 adult patients with chronic, treatment-resistant FI were implanted with SphinKeeper™.
- Preoperative and 6-month postoperative assessments included anorectal manometry, endoanal ultrasound, Cleveland Clinic FI Score, FI Quality of Life score, and incontinence episode frequency.
- Data analysis focused on changes in these parameters post-implantation.
Main Results:
- No intra-operative or major postoperative complications were reported.
- Two cases of prosthesis extrusion and one anterior dislocation were noted.
- Significant improvements were observed in maximum resting pressure, weekly incontinence episodes, and Cleveland Clinic FI Score (P < 0.05).
Conclusions:
- SphinKeeper™ appears to be a safe and effective minimally invasive option for faecal incontinence.
- Short-term results suggest good postoperative outcomes.
- Further studies with larger cohorts and longer follow-up are warranted to confirm its potential as a first-line treatment for FI.
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