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Insert devices for faecal incontinence.

P How1, P M Trivedi2, P E Bearn2

  • 1Department of Colorectal Surgery, Ashford and St Peter's NHS Trust, Chertsey, Surrey, UK. pd_how@hotmail.com.

Techniques in Coloproctology
|September 2, 2020
PubMed
Summary
This summary is machine-generated.

Anal and vaginal inserts may help manage faecal incontinence (FI), improving continence and quality of life. Further research is needed to confirm long-term benefits and effectiveness of these mechanical devices for FI.

Keywords:
AnalFaecal incontinenceInsertsReviewVaginal

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Area of Science:

  • Gastroenterology
  • Gynecology
  • Urology

Background:

  • Faecal incontinence (FI) affects 1-19% of the population, causing significant physical and psychological distress.
  • Current treatment strategies for FI vary in efficacy and morbidity.
  • The role of mechanical devices like anal and vaginal inserts in FI management is not well-understood.

Purpose of the Study:

  • To conduct a systematic review of the literature on the use of anal and vaginal inserts for managing faecal incontinence.
  • To evaluate the clinical outcomes and effectiveness of these devices in patients with FI.

Main Methods:

  • A systematic electronic search of Medline, Pubmed, and Embase databases was conducted.
  • Keywords included 'anal plug', 'anal insert', 'vaginal insert', and 'faecal incontinence'.
  • English-language articles reporting clinical outcomes for FI devices were included; review articles were excluded.

Main Results:

  • Thirteen articles met the eligibility criteria, detailing outcomes for vaginal inserts (Eclipse) and three types of anal inserts (Coloplast 'Tulip', Procon/ProTect, Renew).
  • When tolerated, both anal and vaginal inserts significantly improved continence, bowel function, and quality of life.
  • Reported adverse effects included discomfort, leakage, and slippage; long-term compliance and benefits require further investigation.

Conclusions:

  • Vaginal and anal inserts show potential as a useful treatment option for faecal incontinence.
  • Higher quality evidence is necessary to definitively establish the effectiveness of these devices in FI management.