Does the radiofrequency procedure for fecal incontinence improve quality of life and incontinence at 1-year follow-up?

Dan Ruiz, Rodrigo A. Pinto, Tracy L. Hull, Jonathan Efron, Steven D. Wexner

Research output: Contribution to journalArticle

Abstract

PURPOSE: Fecal incontinence is a socially isolating disease that causes physical and psychologic distress. Radiofrequency delivered to the anal canal is a surgical modality for fecal incontinence that has been noted to be safe and potentially effective. The aim of this study was to evaluate improvement in fecal incontinence and quality of life after the radiofrequency procedure at 1-year follow-up. METHODS: After institutional review board approval, patients with fecal incontinence for at least 3 months were prospectively recruited between March 2003 and June 2004. Patients enrolled in the study underwent the Secca procedure. The Cleveland Clinic Florida Fecal Incontinence Score and the Fecal Incontinence Quality of Life Questionnaire were completed at the first visit and then at 12-month follow-up. Wilcoxon signed rank test was used to analyze the difference between baseline and follow-up. RESULTS: A total of 24 patients (23 females) were enrolled in the study, and 16 were available at the 12- month follow-up visit. The main causes of fecal incontinence were either idiopathic or included obstetric injury, aging, and trauma from previous anorectal surgeries. The mean operative time was 45.5 ± 8.3 minutes, and the mean number of radiofrequency lesions in the anal canal was 65.5 ± 13.8. There were 3 selflimited episodes of postoperative bleeding and 1 instance of constipation that was resolved with laxatives. There were no delayed complications. The mean Cleveland Clinic Florida Fecal Incontinence Score improved from a mean of 15.6 (± 3.2) at baseline to 12.9 (± 4.6) at 12 months (P = .035). The mean Fecal Incontinence Quality of Life Questionnaire score improved in all subsets except for the depression subscore. CONCLUSION: Radiofrequency is a safe, minimally invasive tool for treating patients with fecal incontinence. Improvement in fecal incontinence and quality of life was maintained at 12 months without delayed morbidity. The actual significance of this improvement is yet to be determined.

Original languageEnglish (US)
Pages (from-to)1041-1046
Number of pages6
JournalDiseases of the Colon and Rectum
Volume53
Issue number7
DOIs
StatePublished - Jul 2010
Externally publishedYes

Fingerprint

Fecal Incontinence
Quality of Life
Anal Canal
Laxatives
Research Ethics Committees
Wounds and Injuries
Constipation
Operative Time
Nonparametric Statistics
Obstetrics
Hemorrhage

Keywords

  • Fecal incontinence
  • Incontinence
  • Incontinence score
  • Quality of life
  • Radiofrequency

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Does the radiofrequency procedure for fecal incontinence improve quality of life and incontinence at 1-year follow-up? / Ruiz, Dan; Pinto, Rodrigo A.; Hull, Tracy L.; Efron, Jonathan; Wexner, Steven D.

In: Diseases of the Colon and Rectum, Vol. 53, No. 7, 07.2010, p. 1041-1046.

Research output: Contribution to journalArticle

Ruiz, Dan ; Pinto, Rodrigo A. ; Hull, Tracy L. ; Efron, Jonathan ; Wexner, Steven D. / Does the radiofrequency procedure for fecal incontinence improve quality of life and incontinence at 1-year follow-up?. In: Diseases of the Colon and Rectum. 2010 ; Vol. 53, No. 7. pp. 1041-1046.
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AU - Pinto, Rodrigo A.

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AU - Efron, Jonathan

AU - Wexner, Steven D.

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N2 - PURPOSE: Fecal incontinence is a socially isolating disease that causes physical and psychologic distress. Radiofrequency delivered to the anal canal is a surgical modality for fecal incontinence that has been noted to be safe and potentially effective. The aim of this study was to evaluate improvement in fecal incontinence and quality of life after the radiofrequency procedure at 1-year follow-up. METHODS: After institutional review board approval, patients with fecal incontinence for at least 3 months were prospectively recruited between March 2003 and June 2004. Patients enrolled in the study underwent the Secca procedure. The Cleveland Clinic Florida Fecal Incontinence Score and the Fecal Incontinence Quality of Life Questionnaire were completed at the first visit and then at 12-month follow-up. Wilcoxon signed rank test was used to analyze the difference between baseline and follow-up. RESULTS: A total of 24 patients (23 females) were enrolled in the study, and 16 were available at the 12- month follow-up visit. The main causes of fecal incontinence were either idiopathic or included obstetric injury, aging, and trauma from previous anorectal surgeries. The mean operative time was 45.5 ± 8.3 minutes, and the mean number of radiofrequency lesions in the anal canal was 65.5 ± 13.8. There were 3 selflimited episodes of postoperative bleeding and 1 instance of constipation that was resolved with laxatives. There were no delayed complications. The mean Cleveland Clinic Florida Fecal Incontinence Score improved from a mean of 15.6 (± 3.2) at baseline to 12.9 (± 4.6) at 12 months (P = .035). The mean Fecal Incontinence Quality of Life Questionnaire score improved in all subsets except for the depression subscore. CONCLUSION: Radiofrequency is a safe, minimally invasive tool for treating patients with fecal incontinence. Improvement in fecal incontinence and quality of life was maintained at 12 months without delayed morbidity. The actual significance of this improvement is yet to be determined.

AB - PURPOSE: Fecal incontinence is a socially isolating disease that causes physical and psychologic distress. Radiofrequency delivered to the anal canal is a surgical modality for fecal incontinence that has been noted to be safe and potentially effective. The aim of this study was to evaluate improvement in fecal incontinence and quality of life after the radiofrequency procedure at 1-year follow-up. METHODS: After institutional review board approval, patients with fecal incontinence for at least 3 months were prospectively recruited between March 2003 and June 2004. Patients enrolled in the study underwent the Secca procedure. The Cleveland Clinic Florida Fecal Incontinence Score and the Fecal Incontinence Quality of Life Questionnaire were completed at the first visit and then at 12-month follow-up. Wilcoxon signed rank test was used to analyze the difference between baseline and follow-up. RESULTS: A total of 24 patients (23 females) were enrolled in the study, and 16 were available at the 12- month follow-up visit. The main causes of fecal incontinence were either idiopathic or included obstetric injury, aging, and trauma from previous anorectal surgeries. The mean operative time was 45.5 ± 8.3 minutes, and the mean number of radiofrequency lesions in the anal canal was 65.5 ± 13.8. There were 3 selflimited episodes of postoperative bleeding and 1 instance of constipation that was resolved with laxatives. There were no delayed complications. The mean Cleveland Clinic Florida Fecal Incontinence Score improved from a mean of 15.6 (± 3.2) at baseline to 12.9 (± 4.6) at 12 months (P = .035). The mean Fecal Incontinence Quality of Life Questionnaire score improved in all subsets except for the depression subscore. CONCLUSION: Radiofrequency is a safe, minimally invasive tool for treating patients with fecal incontinence. Improvement in fecal incontinence and quality of life was maintained at 12 months without delayed morbidity. The actual significance of this improvement is yet to be determined.

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KW - Quality of life

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