title: [Improvement of fecal incontinence with silicone implants in patients with internal anal sphincter injury: First report in North America].
abstract: The injection of bulking agents has been described as a useful treatment of urinary and fecal incontinence. Among them, silicone implants have shown benefits in patients with internal anal sphincter (IAS) injury. We describe two patients with a history of hemorrhoidectomy and IAS injuries, which underwent placement of silicone implants. The implants were inserted into the intersphincteric space and the IAS under ultrasound guidance. The Wexner continente score fell from 17 and 19 before treatment, to 6 and 8 at six months follow up, respectively. Patients had no postoperative complications or implants migration. In our patients, injection of silicone implants improved fecal continence score, without postoperative complications or implants migration at six month follow up.
authors.affiliation: Servicio de Cirugía de Colon y Recto del Departamento de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. omarvergara74@hotmail.com
authors.forename: O
authors.initials: O
authors.lastname: Vergara-Fernández
authors.forename: M A
authors.initials: MA
authors.lastname: Valdovinos-Díaz
authors.forename: G
authors.initials: G
authors.lastname: Hagerman-Ruiz Galindo
authors.forename: L E
authors.initials: LE
authors.lastname: Salinas-Aragón
authors.forename: M
authors.initials: M
authors.lastname: Ruíz-Campos
authors.forename: W
authors.initials: W
authors.lastname: Castillo-Machado
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal; D005242:Fecal Incontinence / Q000601:surgery*; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D009656:North America; D019736:Prostheses and Implants; D012074:Remission Induction; D012828:Silicones / Q000008:administration & dosage
chemical_list: D012828:Silicones