Radiofrequency (SECCA) for Fecal Incontinence

  • Marco FrascioEmail author
Part of the Urodynamics, Neurourology and Pelvic Floor Dysfunctions book series (UNPFD)


Fecal incontinence has been defined as the unintentional passing of stool in an inappropriate place or time, more than two times a month [1]. Fecal incontinence is not a life-threatening disease; however, it can seriously impair quality of life in affected patients and frequently results in disability [2, 3]. It is a worldwide problem affecting 8–12% of the general population, often under-diagnosed, under-reported, and poorly managed. Fecal incontinence morbidity increases with age and can be frequent occurring in up to 45% of the elderly population [1].


  1. 1.
    Nelson R, Norton N, Cautley E, Furner S. Community-based prevalence of anal incontinence. JAMA. 1995;274(7):559–61.CrossRefGoogle Scholar
  2. 2.
    Whitehead WE, Norton NJ, Wald A. Introduction. Advancing the treatment of fecal and urinary incontinence through research. Gastroenterology. 2004;126(1 Suppl 1):S1–2.CrossRefGoogle Scholar
  3. 3.
    Brown HW, Wexner SD, Segall MM, Brezoczky KL, Lukacz ES. Accidental bowel leakage in the mature women’s health study: prevalence and predictors. Int J Clin Pract. 2012;66:1101–8.CrossRefGoogle Scholar
  4. 4.
    Chapman AE, Geerdes B, Hewett P, Young J, Eyers T, Kiroff G, Maddern GJ. Systematic review of dynamic graciloplasty in the treatment of faecal incontinence. Br J Surg. 2002;89(2):138–53.PubMedGoogle Scholar
  5. 5.
    Kapoor DS, Thakar R, Sultan AH. Combined urinary and faecal incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(4):321–8.CrossRefGoogle Scholar
  6. 6.
    Belyaev O, Muller C, Uhl W. Neosphincter surgery for fecal incontinence: a critical and unbiased review of the relevant literature. Surg Today. 2006;36(4):295–303.CrossRefGoogle Scholar
  7. 7.
    Takahashi-Monroy T, Morales M, Garcia-Osogobio S, Valdovinos MA, Belmonte C, Barreto C, Zarate X, Bada O, Velasco L. SECCA procedure for the treatment of fecal incontinence: results of five-year follow-up. Dis Colon Rectum. 2008;51(3):355–9.CrossRefGoogle Scholar
  8. 8.
    Ruiz D, Pinto RA, Hull TL, Efron JE, Wexner SD. Does the radiofrequency procedure for fecal incontinence improve quality of life and incontinence at 1-year follow-up? Dis Colon Rectum. 2010;53(7):1041–6.CrossRefGoogle Scholar
  9. 9.
    Herman RM, Berho M, Murawski M, Nowakowski M, Ryś J, Schwarz T, Wojtysiak D, Wexner SD. Defining the histopathological changes induced by nonablative radiofrequency treatment of faecal incontinence-a blinded assessment in an animal model. Color Dis. 2015;17(5):433–40.CrossRefGoogle Scholar
  10. 10.
    Parisien CJ, Corman ML. The SECCA procedure for the treatment of fecal incontinence: definitive therapy or short-term solution. Clin Colon Rectal Surg. 2005;18(1):42–5.CrossRefGoogle Scholar
  11. 11.
    Frascio M, Mandolfino F, Imperatore M, Stabilini C, Fornaro R, Gianetta E, Wexner SD. The SECCA procedure for faecal incontinence: a review. Color Dis. 2014;16(3):167–72.CrossRefGoogle Scholar
  12. 12.
    Frascio M, Stabilini C, Casaccia M, Testa T, Fornaro R, Parodi MC, Marrone C, Gianetta E, Mandolfino F. Radiofrequency procedure (SECCA(R)) for fecal incontinence: one-year experience. Surg Technol Int. 2017;30:97–101.PubMedGoogle Scholar
  13. 13.
    Kim DW, Yoon HM, Park JS, Kim YH, Kang SB. Radiofrequency energy delivery to the anal canal: is it a promising new approach to the treatment of fecal incontinence? Am J Surg. 2009;197(1):14–8.CrossRefGoogle Scholar
  14. 14.
    Felt-Bersma RJ. Temperature-controlled radiofrequency energy in patients with anal incontinence: an interim analysis of worldwide data. Gastroenterol Rep (Oxf). 2014;2(2):121–5.CrossRefGoogle Scholar
  15. 15.
    Fornaro R, Frascio M, Denegri A, Stabilini C, Impenatore M, Mandolfino F, Lazzara F, Gianetta E. Crohn’s disease and cancer. Ann Ital Chir. 2009;80(2):119–25.PubMedGoogle Scholar
  16. 16.
    Fornaro R, Frascio M, Stabilini C, Sticchi C, Barberis A, Denegri A, Ricci B, Azzinnaro A, Lazzara F, Gianetta E. Crohn’s disease surgery: problems of postoperative recurrence. Chir Ital. 2008;60(6):761–81.PubMedGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Surgical Clinic Unit II, Department of Surgical Sciences and Integrated Diagnostics (DISC)Genoa UniversityGenoaItaly

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