Carboncoated Bead Injection

Injection of carbon-coated beads (ACYSTtm or Durasphere FI®; Carbon Medical Technologies, St. Paul, MN) into the submucosa of the upper anal canal and lower rectum serves to provide additional bulk in the anal canal (Figures 6-10.5 and 6-10.6). This bulk provides resistance to the

Figure 6-10.5. Microscopic picture of the carbon-coated beads in a gel suspension.The beads are 212 to 500 |ig in size.
Figure 6-10.6. The beads are injected via a 1-mL syringe.

passage of stool and allows for improved sensation and discrimination. It is an outpatient office procedure that is well tolerated. A recent prospective, open-label trial study performed at our institution on 20 patients revealed symptomatic improvement of the fecal incontinence in 75% of cases at 2-year follow-up.11 This procedure has proven to be a safe, simple, inexpensive, and effective technique in the treatment of moderate to severe fecal incontinence. Currently, a prospective, randomized trial further evaluating this method is beginning.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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