The SECCA procedure

a new therapy for treatment of fecal incontinence.

Research output: Contribution to journalArticle

Abstract

The SECCA (Curon Medical, Freemont, CA USA) device delivers temperature-controlled radiofrequency (RF) energy to the anorectal junction to treat fecal incontinence. The procedure is performed as an outpatient either in the endoscopy suite or ambulatory surgery center. After appropriate local block, the SECCA device is then inserted into the anal canal and submucosal RF energy is delivered circumferentially to the anorectal junction. A pilot trial in Mexico on 10 patients demonstrated a significant improvement in Cleveland Clinic Florida Fecal Incontinence Scores (CCF-FIS) from a pre-treatment score of 13.5 to 12-month post-treatment score of 3.8. These patients continued to have significantly improved continence with an average CCF-FIS of 7.3 at 24-month follow up. A multi-center, institutional review board-approved, open label, prospective trial that evaluates the efficacy and safety of the SECCA procedure has been completed in the United States (U.S.). Five centers prospectively enrolled 50 patients with greater than or equal to 3 months of weekly fecal incontinence who also had failed either medical or surgical interventions. Patients underwent anoscopy, anorectal manometry (ARM), endoanal ultrasound (EAUS), and pudendal nerve terminal motor latency (PNTML) at 0 and 6 months. The CCF-FIS scale, fecal incontinence-related quality of life score (FIQL), and SF-36 were administered at 0, 3, and 6 months. After conscious sedation and local perianal block, RF energy was delivered by way of the SECCA device. At 6 months, the mean CCF-FI score improved significantly (14.5 to 11.1, p

Original languageEnglish (US)
Pages (from-to)107-110
Number of pages4
JournalSurgical technology international
Volume13
StatePublished - 2004
Externally publishedYes

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Fecal Incontinence
Equipment and Supplies
Therapeutics
Pudendal Nerve
Conscious Sedation
Research Ethics Committees
Manometry
Anal Canal
Mexico
Ambulatory Surgical Procedures
Endoscopy
Outpatients
Quality of Life
Safety
Temperature

Cite this

The SECCA procedure : a new therapy for treatment of fecal incontinence. / Efron, Jonathan.

In: Surgical technology international, Vol. 13, 2004, p. 107-110.

Research output: Contribution to journalArticle

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