Radiofrequency energy delivery (Secca® procedure; Curon Medical) is a newer modality for treating fecal incontinence originally used for treating gastroesophageal reflux disease , benign prostatic hyperplasia , and joint-capsule laxity . 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 . 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.
KeywordsBenign Prostatic Hyperplasia Fecal Incontinence Anal Canal Anal Sphincter Complex Stretta Procedure
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Triadafilopoulos G, DiBaise JK, Nostrant TT et al (2002) The Stretta procedure for the treatment of GERD: 6 and 12 month follow-up of the U.S. open label trial. Gastrointest Endosc 55:149–156PubMedCrossRefGoogle Scholar
Issa MM, Oesterling JE (1996) Transurethral needle ablation (TUNA): an overview of radiofrequency thermal therapy for the treatment of benign prostatic hyperplasia. Curr Opin Urol 6:20–27CrossRefGoogle Scholar
Hecht P, Hayashi K, Cooley AJ et al (1998) The thermal effect of monopolar radiofrequency energy on the porperties of joint capsule. An in vivo histologic study using a sheep model. Am J Sports Med 26:808–814PubMedGoogle Scholar
Person B, Wexner S (2005) Advances in the surgical treatment of fecal incontinence. Surg Innovation 12:7–21CrossRefGoogle Scholar
Gustavson KH (1964) On the chemistry of collagen. Fed Proc 23:613–617PubMedGoogle Scholar
Takahashi T, Garcia-Osogobio S, Valdovinos M et al (2002) Radio-frequency energy delivery to the anal canal for the treatment of fecal incontinence. Dis Colon Rectum 45:915–922PubMedCrossRefGoogle Scholar
Takahashi T, Garcia-Osogobio S, Valdovinos M et al (2003) Extended two-year results of radio-frequency energy delivery for the treatment of fecal incontinence(the Secca Procedure). Dis Colon Rectum 46:711–715PubMedCrossRefGoogle Scholar
Efron, JE, Corman ML, Fleshman J et al (2003) Safety and effectiveness of temperature-controlled radio-frequency energy delivery to the anal canal (SeccaR procedure) for the treatment of fecal incontinence. Dis Colon Rectum 46:1606–1616PubMedCrossRefGoogle Scholar
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