Skip to main content

Magnetic Anal Sphincter for Fecal Incontinence

  • Chapter
  • First Online:
Magnetic Surgery
  • 485 Accesses

Abstract

The problem of fecal incontinence is growing due to an array of causes; it can follow trauma (childbirth), surgery, or be from neurological origin, or other. Over the last century, multiple surgical therapies have been suggested and tried including injection of biomaterials into the anal canal, radiofrequency treatment of the anal canal, repair of anal muscle injuries, sacral nerve stimulation, artificial bowel sphincter, muscle transposition to reinforce the anal sphincter, and creation of a stoma in last resort.

Magnets have been introduced in the last two decades to palliate this problem; however, some have abandoned due to problems of erosions and migrations. Recently, we have seen a resurgence in using a new type of magnets assembly; the literature is reviewed here, including some recent comparisons to other treatments for fecal incontinence.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Bortolotti M. The magnetic anal sphincter: a seductive promise still not kept. Color Dis. 2015;17(1):89–90.

    Article  CAS  Google Scholar 

  2. Lehur PA, Barussaud ML. The magnetic anal sphincter: a seductive promise still not kept. Color Dis. 2015;17(5):452.

    Article  Google Scholar 

  3. Bortolotti M, Ugolini G, Grandis A, et al. A novel magnetic device to prevent fecal incontinence (preliminary study). Int J Color Dis. 2008;23:499–501.

    Article  Google Scholar 

  4. Mantoo S, Meurette G, Podevin J, Lehur PA. The magnetic anal sphincter: a new device in the management of severe fecal incontinence. Expert Rev Med Devices. 2012;9(5):483–90.

    Article  CAS  Google Scholar 

  5. Sugrue J, Lehur PA, Madoff RD, et al. Long-term experience of magnetic anal sphincter augmentation in patients with fecal incontinence. Dis Colon Rectum. 2017;60(1):87–95.

    Article  Google Scholar 

  6. Kim M, Lehur PA. How to size the anal canal circumference when implanting a magnetic anal sphincter for fecal incontinence. Evolution and update of a new surgical technique. Dis Colon Rectum. 2016;59(9):901–3.

    Article  Google Scholar 

  7. Barussaud ML, Mantoo S, Wyart V, Meurette G, Lehur PA. The magnetic anal sphincter in faecal incontinence: is initial success sustained over time? Color Dis. 2013;15(12):1499–503.

    Article  Google Scholar 

  8. Wong MT, Meurette G, Wyart V, Glemain P, Lehur PA. The artificial bowel sphincter: a single institution experience over a decade. Ann Surg. 2011;254(6):951–6.

    Article  Google Scholar 

  9. Wong MT, Meurette G, Stangherlin P, Lehur PA. The magnetic anal sphincter versus the artificial bowel sphincter: a comparison of 2 treatments for fecal incontinence. Dis Colon Rectum. 2011;54(7):773–9.

    Article  Google Scholar 

  10. Wong MT, Meurette G, Wyart V, Lehur PA. Does the magnetic anal sphincter device compare favourably with sacral nerve stimulation in the management of faecal incontinence? Color Dis. 2012;14(6):e323–9.

    Article  CAS  Google Scholar 

  11. Lehur PA, McNevin S, Buntzen S, Mellgren AF, Laurberg S, Madoff RD. Magnetic anal sphincter augmentation for the treatment of fecal incontinence: a preliminary report from a feasibility study. Dis Colon Rectum. 2010;53(12):1604–10.

    Article  Google Scholar 

  12. Lehur PA. The anal artificial sphincter in severe anal incontinence. Int J Surg Investig. 1999;1(3):268–9.

    CAS  PubMed  Google Scholar 

  13. Faucheron JL, Sage PY, Trilling B. Erosion rate of the magnetic sphincter augmentation device is much higher for anal incontinence than for antireflux. J Gastrointest Surg. 2019;23(2):389–90.

    Article  Google Scholar 

  14. Alicuben ET, Bell RCW, Jobe BA, et al. Worldwide experience with erosion of the magnetic sphincter augmentation device. J Gastrointest Surg. 2018;22(8):1442–7.

    Article  Google Scholar 

  15. Williams AE, Croft J, Napp V, et al. SaFaRI: sacral nerve stimulation versus the FENIX magnetic sphincter augmentation for adult faecal incontinence: a randomised investigation. Int J Color Dis. 2016;31(2):465–72.

    Article  Google Scholar 

  16. DeStephano CC, Chen AH, Pettit PD. The Fenix system for fecal incontinence: an overview and surgical demonstration. J Minim Invasive Gynecol. 2017;24(7):1078.

    Article  Google Scholar 

  17. Espinal M, DeStephano CC, Guha P, Gajarawala SP, Chen AH, Pettit PD. Robotic placement of the FENIX continence restoration system in a patient with previous radiation to the pelvis: a case report. J Minim Invasive Gynecol. 2018;25(3):528–32.

    Article  Google Scholar 

  18. Stokes WE, Jayne DG, Alazmani A, Culmer PR. A biomechanical model of the human defecatory system to investigate mechanisms of continence. Proc Inst Mech Eng H. 2019;233(1):114–26.

    Article  Google Scholar 

  19. US Food and Drug Administration. Humanitarian device exemption (HDE). FENIX® Continence Restoration System. The summary of safety and effectiveness data. https://www.accessdata.fda.gov/cdrh_docs/pdf13/H130006b.pdf

  20. Lehur PA, Christoforidis D, Meurette G. Artificial sphincters to treat severe fecal incontinence: currently in a deadlock. Dis Colon Rectum. 2020;63(8):1017–9.

    Article  Google Scholar 

  21. Thomas G, Vaizey C. Surgery. In: Collins B, Bradshaw E, editors. Bowel dysfunction. Cham.: Springer; 2016. p. 225–39. https://doi.org/10.1007/978-3-319-43214-4_14.

    Chapter  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gagner, M. (2021). Magnetic Anal Sphincter for Fecal Incontinence. In: Gagner, M. (eds) Magnetic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-73947-8_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-73947-8_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-73946-1

  • Online ISBN: 978-3-030-73947-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics