Pilot study of two new injectable bulking agents for the treatment of faecal incontinence

Abstract

Objective: The use of injectable bulking agents for passive faecal incontinence appears to provide reasonable short-term results. However experience with different agents is limited. We report on the outcome of injections with new bulking agents. Method: Each patient received injections of either Bulkamid™ (hydrogel cross-linked with polyacrylamide) or Permacol™ (porcine dermal collagen). Assessment included clinical evaluation, anorectal physiological testing, endoanal ultrasonography and questionnaires including the St Mark's Incontinence Score, one week bowel diary card, the Faecal Incontinence Quality of Life Scale and the Short Form-36 (SF-36) health survey. Follow up was at 6weeks and ..