• Jenny Speranza
  • Steven D. Wexner


Radiofrequency energy delivery (Secca® procedure; Curon Medical) is a newer modality for treating fecal incontinence originally used for treating gastroesophageal reflux disease [1], benign prostatic hyperplasia [2], and joint-capsule laxity [3]. After being found a safe and effective means of strengthening tissues, its beneficial effects were first used within the anal canal in Mexico in 1999. Since then, demonstrated improvements have prompted further investigation, with promising results, for use within the anal canal. The radiofrequency generator produces heat by a high-frequency, alternating current that flows from two electrodes-active and dispersivecausing frictional movement of ions and tissue heating [4]. This procedure is not an option for obvious sphincter defects but can be used with a weak or thinned anal sphincter complex. Patients with a history of inflammatory bowel disease (IBD), extensive perianal disease, or chronic diarrhea should not be offered this treatment.


Benign Prostatic Hyperplasia Fecal Incontinence Anal Canal Anal Sphincter Complex Stretta Procedure 
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© Springer-Verlag Italia 2007

Authors and Affiliations

  • Jenny Speranza
  • Steven D. Wexner

There are no affiliations available

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