Secca Therapies Mederi™
The trans-anally inserted Secca® system uses a proprietary application of RF energy that runs on the dual-purpose RF1 generator. Similar to the Stretta® system, Secca® is low-power (8 Watts) and low temperature (65°C to 85°C) treatment of bowel incontinence in a series of up to 20, one-minute cycles. Through the delivery of RF energy, Secca® therapy remodels the muscle of the internal anal sphincter (IAS). The FDA originally cleared Secca® for use in 2002 and issued an updated clearance on the RF1 generator in 2011. Secca® has been proven safe and effective in numerous studies and is typically performed on an outpatient basis with conscious sedation.
“When patient selection is appropriate, this treatment has demonstrated clinically significant improvements in symptoms, as demonstrated by statistically significant reductions in the Wexner incontinence and quality of life scores…According to these observations, a major advantage of SECCA® compared with other treatments, such as bulking injections, sacral nerve stimulation (SNS) and surgery, is the relatively low morbidity.”
Frascio et al, Colorectal Disease, February 2014
- The SECCA procedure for faecal incontinence: a review M. Frascio, F. Mandolfino, M. Imperatore, C. Stabilini, R. Fornaro, E. Gianetta and S. D. Wexner Colorectal Disease 16, 167-172 August 2013
- **Non-ablative radiofrequency (RF) application to smooth muscle of internal anal sphincter (IAS) – A tissue study Roman M. Herman, Dorota Wojtysiak, Janusz Ryś, Michal Nowakowski, Maciej Murawski, Tomasz Schwarz, Dorota Ziemba, Roma B. Herman. Poster presented at SAGES 2013
- Faecal Incontinence – Review of the Disease State, Therapeutic Alternatives and Algorithmic Approach to Treatment. Mark D. Noar, MD. Touchgastroenterology.com; November, 2011.
- Does the Radiofrequency Procedure for Fecal Incontinence Improve Quality of Life and Incontinence at 1-Year Follow-Up? Dan Ruiz, M.D., Rodrigo A. Pinto, M.D., Tracy L. Hull, M.D., Jonathan E. Efron,M.D., Steven D. Wexner, M.D. Dis Colon Rectum 2010; 53:7 1041–1046
- SECCA procedure for the treatment of fecal incontinence: results of five-year follow-up. Takahashi-Monroy T, Morales M, Garcia-Osogobio S, Valdovinos MA, Belmonte C, Barreto C, Zarate X, Bada O, Velasco L. Service of Colon and Rectal Surgery, Department of Surgery, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico, DF, Mexico. Dis Colon Rectum. 2008 Mar;51(3):355-9. Epub 2008 Jan 19.
- The Secca Procedure for the Treatment of Fecal Incontinence: Definitive Therapy or Short-Term Solution* Christine J. Parisien, M.D. and Marvin L. Corman, M.D. Clinics in Colon and Rectal Surgery, volume 18, number 1, 2005.
- Radiofrequency energy delivery to the anal canal for the treatment of fecal incontinence. Takahashi T, Garcia-Osogobio S, Valdovinos MA, Mass W, Jimenez R, Jauregui LA, Bobadilla J, Belmonte C, Edelstein PS, Utley DS. Dis Colon Rectum 2002;45:915–922.