Candidates for Secca Therapy should have:
- Mild to moderate bowel incontinence, Wexner score of 9-17
- Failed conservative therapies
- Relatively normal anorectal anatomy, without significant scar or tissue loss
- No greater than a 30% external anal sphincter disruption as seen on exam or ultrasound.
The great news for patients is that there are new therapies available to treat this debilitating disorder. The proposed treatment algorithm on the right balances the underlying cause of the disease and allows for the selection of therapies in a manner that takes into account the rates of success, contraindications, morbidity, cost, and ability to allow secondary or additive therapies. It is important to note that treatment with Secca therapy does not preclude more advanced corrected procedures if warranted.