Coloproctology

Efficacy of dextranomer in stabilised hyaluronic acid for treatment of faecal incontinence

Injection of a bulking agent in the anal canal is an increasingly used treatment for faecal incontinence, but efficacy has not been shown in a controlled trial. To assess the efficacy of injection of dextranomer in stabilised hyaluronic acid (NASHA Dx) for treatment of faecal incontinence, a randomised, double-blind, sham-controlled trial was performed. Results showed that anal injection of NASHA Dx is an effective treatment for faecal incontinence, even if a refinement of selection criteria for patients, optimum injected dose, ideal site of injection, and long-term results might further increase the acceptance of this minimally invasive treatment.
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 http://www.thelancet.com/journals/lancet/article/PIIS0140-67...

The Lancet