Steven D Wexner (Chair of Colorectal Surgery – Director Digestive Disease Center)
Mariana Berho (Anatomic & Clinical Pathology)
Cleveland Clinic Florida, USA
Hospital Clínic, Barcelona, Spain
Fecal incontinence (FI) is defined as an uncontrolled passage of gas or faeces for at least one month. It is a condition that deteriorates the quality of life of patients, it develops different levels of disability leading to an important socio-economic impact.
There are anatomical and neurological causes of FI with physiopathologic mechanism that often overlaps. The management starts with dietary modifications, physiotherapy, biofeedback and may finish in surgical treatment (sacral nerve stimulation, sphincteroplasty or artificial sphincter).
SeccaⓇ procedure represents an option for some patients that avoids surgery. The therapeutic effect of the procedure is due to pathophysiological changes such as an increase in smooth muscle content as well as an improvement in collagen I/collagen III ratio that are induced by radiofrequency.
Steven Wexner from Cleveland Clinic Florida visited the Hospital Clínic of Barcelona and explained the clinical results after using SeccaⓇ.
He was followed by Mariana Berho (from the same institution) that talked about the histopathological changes induced by radiofrequency and its relation with the continence improvement.
The procedure was performed in a live case by Raúl Almenara and María Fernández-Hevia, discover all the facts in the videos.