Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study

(1) Background: The Sphinkeeper implantation for faecal incontinence (FI) is a novel surgical procedure with limited data on its clinical efficacy. Therefore, we aimed to assess the functional outcome following Sphinkeeper surgery in patients with refractory FI. (2) Methods: Between 2018 and 2020, e...

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Autores principales:	Christopher Dawoud, Leonhard Bender, Kerstin Melanie Widmann, Felix Harpain, Stefan Riss
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	faecal incontinence Sphinkeeper sphincter lesion artificial anal sphincter endoanal ultrasound Medicine R
Acceso en línea:	https://doaj.org/article/450f0719e3a744d9a5d13922427e3d57
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spelling	oai:doaj.org-article:450f0719e3a744d9a5d13922427e3d572021-11-11T17:35:57ZSphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study10.3390/jcm102149652077-0383https://doaj.org/article/450f0719e3a744d9a5d13922427e3d572021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4965https://doaj.org/toc/2077-0383(1) Background: The Sphinkeeper implantation for faecal incontinence (FI) is a novel surgical procedure with limited data on its clinical efficacy. Therefore, we aimed to assess the functional outcome following Sphinkeeper surgery in patients with refractory FI. (2) Methods: Between 2018 and 2020, eleven consecutive patients (9 female) with FI met the inclusion criteria and were enrolled for surgery. Functional outcome and quality of life were evaluated by standard questionnaires pre- and post-surgery. Migration of protheses was demonstrated by 3D endoanal ultrasound. The median follow-up time was eight months (range 3–18 months). (3) Results: The median age was 75 years (range 46–89 years) with a median BMI of 27.4 (range 21.2–30.1). The median number of implanted prostheses per intervention was nine (range 9–10). We found no intraoperative or early postoperative complications. After two months, two prostheses in one patient had to be removed due to pain at the perianal skin site. The median St. Mark’s incontinence score decreased significantly from 22 to 13 points (<i>p</i> = 0.008). The SF-12 showed a significant improvement (35.9 versus 46.3) after surgery (<i>p</i> = 0.028). A migration of at least one prosthesis was observed in ten patients (91%). Six (60%) prostheses were found at the same level in another ten patients. (4) Conclusion: Sphinkeeper implantation is a promising surgical technique for patients with severe FI. The complication rate is low, and short-term functional improvement can be achieved even in severe forms of FI. Migration of implants commonly occurs.Christopher DawoudLeonhard BenderKerstin Melanie WidmannFelix HarpainStefan RissMDPI AGarticlefaecal incontinenceSphinkeepersphincter lesionartificial anal sphincterendoanal ultrasoundMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4965, p 4965 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	faecal incontinence Sphinkeeper sphincter lesion artificial anal sphincter endoanal ultrasound Medicine R
spellingShingle	faecal incontinence Sphinkeeper sphincter lesion artificial anal sphincter endoanal ultrasound Medicine R Christopher Dawoud Leonhard Bender Kerstin Melanie Widmann Felix Harpain Stefan Riss Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study
description	(1) Background: The Sphinkeeper implantation for faecal incontinence (FI) is a novel surgical procedure with limited data on its clinical efficacy. Therefore, we aimed to assess the functional outcome following Sphinkeeper surgery in patients with refractory FI. (2) Methods: Between 2018 and 2020, eleven consecutive patients (9 female) with FI met the inclusion criteria and were enrolled for surgery. Functional outcome and quality of life were evaluated by standard questionnaires pre- and post-surgery. Migration of protheses was demonstrated by 3D endoanal ultrasound. The median follow-up time was eight months (range 3–18 months). (3) Results: The median age was 75 years (range 46–89 years) with a median BMI of 27.4 (range 21.2–30.1). The median number of implanted prostheses per intervention was nine (range 9–10). We found no intraoperative or early postoperative complications. After two months, two prostheses in one patient had to be removed due to pain at the perianal skin site. The median St. Mark’s incontinence score decreased significantly from 22 to 13 points (<i>p</i> = 0.008). The SF-12 showed a significant improvement (35.9 versus 46.3) after surgery (<i>p</i> = 0.028). A migration of at least one prosthesis was observed in ten patients (91%). Six (60%) prostheses were found at the same level in another ten patients. (4) Conclusion: Sphinkeeper implantation is a promising surgical technique for patients with severe FI. The complication rate is low, and short-term functional improvement can be achieved even in severe forms of FI. Migration of implants commonly occurs.
format	article
author	Christopher Dawoud Leonhard Bender Kerstin Melanie Widmann Felix Harpain Stefan Riss
author_facet	Christopher Dawoud Leonhard Bender Kerstin Melanie Widmann Felix Harpain Stefan Riss
author_sort	Christopher Dawoud
title	Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study
title_short	Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study
title_full	Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study
title_fullStr	Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study
title_full_unstemmed	Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study
title_sort	sphinkeeper procedure for treating severe faecal incontinence—a prospective cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/450f0719e3a744d9a5d13922427e3d57
work_keys_str_mv	AT christopherdawoud sphinkeeperprocedurefortreatingseverefaecalincontinenceaprospectivecohortstudy AT leonhardbender sphinkeeperprocedurefortreatingseverefaecalincontinenceaprospectivecohortstudy AT kerstinmelaniewidmann sphinkeeperprocedurefortreatingseverefaecalincontinenceaprospectivecohortstudy AT felixharpain sphinkeeperprocedurefortreatingseverefaecalincontinenceaprospectivecohortstudy AT stefanriss sphinkeeperprocedurefortreatingseverefaecalincontinenceaprospectivecohortstudy
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Sphinkeeper Procedure for Treating Severe Faecal Incontinence—A Prospective Cohort Study

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