title: [Anal incontinence--assessment of a new treatment].
abstract: BACKGROUND
  Anal incontinence affects 1.4 % of the general population. Anal injections is a new treatment option for this condition; different techniques and bulking agents are used. The article presents a pilot-study with a new bulking agent (hyaluronic acid and dextranomere) and a new injection technique.
  
  
  METHODS
  An anascope was used to inject Zuidex (4 x 1. 4 mL) submucosally (proximal to the dentate line and distally to the puborectal muscle) in 4 patients with severe faecal incontinence, who were deemed unfit for other treatment. No anaesthesia or antibiotic-prophylaxis was used.
  
  
  RESULTS
  All patients tolerated the treatment well, and there were no adverse events. The treatment had an effect in 3 of 4 patients; there was a median fall in St. Mark's score of 3. 5 points.
  
  
  CONCLUSIONS
  The injection technique was well tolerated, easy to perform within an outpatient setting and with promising short-term results. The method has been implemented in a randomized, controlled trial.
authors.affiliation: Avdeling for gastroenterologisk kirurgi, Universitetssykehuset Nord-Norge, 9016 Tromsø. trond.dehli@unn.no
authors.forename: Trond
authors.initials: T
authors.lastname: Dehli
authors.forename: Rolv-Ole
authors.initials: RO
authors.lastname: Lindsetmo
authors.forename: Kjersti
authors.initials: K
authors.lastname: Mevik
authors.forename: Barthold
authors.initials: B
authors.lastname: Vonen
mesh_terms: D000368:Aged; D001003:Anal Canal; D003911:Dextrans / Q000008:administration & dosage*; D005242:Fecal Incontinence / Q000188:drug therapy*; D005260:Female; D005782:Gels; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage*; D007267:Injections; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D003911:Dextrans; D005782:Gels; D006820:Hyaluronic Acid