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Treatment of fecal incontinence-is there a light in the end of the tunnel?
Wien Klin Wochenschr
January 2025
Department of General Surgery, Division of Visceral Surgery, Medical University Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Fecal incontinence (FI) is a common disease with higher incidence rates in the elderly population. Treatment of affected patients remains challenging and ranges from conservative management to surgical techniques. Despite all efforts patients often undergo several therapeutic measurements to achieve reasonable functional improvements.
View Article and Find Full Text PDFSurgical Technique for Sphinkeeper® Implantation.
Surg Technol Int
December 2023
Department of General Surgery, Division of Visceral Surgery, Medical University Vienna, Austria.
Fecal incontinence is a distressing condition characterized by the involuntary loss of solid and liquid stool and gas, It affects a significant proportion of the general population, with a reported prevalence ranging from 1% to 20%. Despite its considerable impact on quality of life, therapeutic options for fecal incontinence remain limited. Current treatment modalities for fecal incontinence include conservative approaches such as dietary modifications, pelvic floor exercises, and pharmacotherapy.
View Article and Find Full Text PDFEndosonographic monitoring of Sphinkeeper prostheses movements: does physical activity have an impact?
Updates Surg
January 2024
Division of Visceral Surgery, Department of General Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
The Sphinkeeper procedure for treating faecal incontinence (FI) may be associated with potential implant migration (IM) and dislocation (ID), with considerable variations regarding their occurrence and effects on consecutive functional outcome. This study assessed IM and ID following the Sphinkeeper procedure and its correlation with physical activity. This was a prospective observational clinical study of ten patients undergoing Sphinkeeper operation due to FI between August 2020 and November 2020 at the Medical University of Vienna.
View Article and Find Full Text PDFSphinkeeper Prosthesis for Fecal Incontinence.
Dis Colon Rectum
October 2023
Department of Colorectal Surgery, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
Clinical effectiveness and safety of self-expandable implantable bulking agents for faecal incontinence: a systematic review.
BMC Gastroenterol
August 2022
HTA Austria - Austrian Institute for Health Technology Assessment GmbH, Garnisongasse 7/20, 1090, Vienna, Austria.
Purpose: The purpose of this systematic review is to evaluate whether self-expandable implantable vs non-self-expandable injectable bulking agents (second-line therapies) are equal/superior in terms of effectiveness (severity, quality of life [QoL]) and safety (adverse events) for faecal incontinence (FI).
Methods: A systematic review was conducted, and five databases were searched (Medline via Ovid, Embase, Cochrane Library, University of York Centre for Reviews and Dissemination, and International Network of Agencies for Health Technology database). In-/exclusion criteria were predefined according to the PICOS scheme.
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