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Review

Current development and clinical applications of artificial anal sphincter

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Pages 537-548 | Received 23 Jul 2021, Accepted 24 May 2023, Published online: 30 May 2023

References

  • Madoff RD, Parker SC, Varma MG, et al. Faecal incontinence in adults. Lancet. 2004;364(9434):621–632. DOI:10.1016/S0140-6736(04)16856-6
  • Rao SSC. Diagnosis and management of fecal incontinence. Am J Gastroenterol. 2004;99(8):1585–1604.
  • Kaiser AM, Orangio GR, Zutshi M, et al. Current status: new technologies for the treatment of patients with fecal incontinence. Surg Endosc. 2014;28(8):2277–2301. DOI:10.1007/s00464-014-3464-3
  • Mitchell PJ, Sagar PM. Emerging surgical therapies for faecal incontinence. Nat Rev Gastroenterol Hepatol. 2014;11(5):279–286. DOI:10.1038/nrgastro.2013.220
  • Gumber A, Redman M, Elsharif M, et al. PTU-166 an audit of the prevalence of faecal incontinence in hospital patients. Gut. 2015;64(Suppl 1). DOI:10.1136/gutjnl-2015-309861.281
  • Sharma A, Yuan L, Marshall RJ, et al. Systematic review of the prevalence of faecal incontinence. Brit J Surg. 2016;103(12):1589–1597. DOI:10.1002/bjs.10298
  • Rezvan A, Jakus-Waldman S, Abbas MA, et al. Review of the Diagnosis, Management and Treatment of Fecal Incontinence. Female Pelvic Med Re. 2015;21(1):8–17.
  • Duelund-Jakobsen J, Worsoe J, Lundby L, et al. Management of patients with faecal incontinence. Ther Adv Gastroenter. 2016;9(1):86–97.
  • Brown HW, Dyer KY, Rogers RG. Management of Fecal Incontinence. Obstet Gynecol. 2020;136(4):811–822. DOI:10.1097/AOG.0000000000004054
  • Kim Y, Ortega M, Von Bargen E. Updates in treating fecal incontinence in women. Curr Opin Obstet Gynecol. 2020;32(6):461–467.
  • De Ligny WR, Kerkhof MH, Ruiz-Zapata AM. Regenerative medicine as a therapeutic option for fecal incontinence: a systematic review of preclinical and clinical studies. Am J Obstet Gynecol. 2019;220(2):142.
  • Simillis C, Lal N, Pellino G, et al. A systematic review and network meta-analysis comparing treatments for faecal incontinence. Int J Surg. 2019;66:37–47.
  • Wang MH, Zhou Y, Zhao S, et al. Challenges faced in the clinical application of artificial anal sphincters. J Zhejiang Univ-Sc B. 2015;16(9):733–742.
  • Ruiz NS, Kaiser AM. Fecal incontinence - Challenges and solutions. World J Gastroenterol. 2017;23(1):11–24. DOI:10.3748/wjg.v23.i1.11
  • Giamundo P, Welber A, Weiss EG, et al. The procon incontinence device: a new nonsurgical approach to preventing episodes of fecal incontinence. Am J Gastroenterol. 2002;97(9):2328–2332.
  • Edden Y, Wexner SD. Therapeutic devices for fecal incontinence: dynamic graciloplasty, artificial bowel sphincter and sacral nerve stimulation. Expert Rev Med Devices. 2009;6(3):307–312.
  • Skull A, Hull TL. Sacral nerve stimulation for fecal incontinence. Expert Rev Med Devices. 2012;9(5):477–482.
  • Cohn JA, Kowalik CG, Kaufman MR, et al. Evaluation of the axonics modulation technologies sacral neuromodulation system for the treatment of urinary and fecal dysfunction. Expert Rev Med Devices. 2017;14(1):3–14.
  • Bharucha AE, Rao SSC, Shin AS. Surgical Interventions and the Use of Device-Aided Therapy for the Treatment of Fecal Incontinence and Defecatory Disorders. Clin Gastroenterol H. 2017;15(12):1844–1854.
  • Norton C, Burch J, Kamm MA. Patients’ views of a colostomy for fecal incontinence. Dis Colon Rectum. 2005;48(5):1062–1069.
  • Branagan G, Tromans A, Finnis D. Effect of stoma formation on bowel care and quality of life in patients with spinal cord injury. Spinal Cord. 2003;41(12):680–683.
  • Gregorcyk S. The Current Status of the Acticon ® Neosphincter. Clin Colon Rectal Surg. 2005;18(1):32–37. DOI:10.1055/s-2005-864078
  • Michot F, Bridoux V, Lefebure B, et al. Artificial anal sphincter (Acticon (R) Neosphincter). Pelvi-Perineologie. 2007;2(4):313–317.
  • Lehur PA, Zerbib F, Neunlist M, et al. Comparison of quality of life and anorectal function after artificial sphincter implantation. Dis Colon Rectum. 2002;45(4):508–513.
  • Wong WD, Congliosi SM, Spencer MP, et al. The safety and efficacy of the artificial bowel sphincter for fecal incontinence - Results from a multicenter cohort study. Dis Colon Rectum. 2002;45(9):1139–1153. DOI:10.1007/s10350-004-6381-z
  • Michot F, Costaglioli B, Leroi AM, et al. Artificial anal sphincter in severe fecal incontinence - Outcome of prospective experience with 37 patients in one institution. Ann Surg. 2003;237(1):52–56.
  • Parker SC, Spencer MP, Madoff RD, et al. Artificial bowel sphincter - Long-term experience at a single institution. Dis Colon Rectum. 2003;46(6):722–729.
  • Melenhorst J, Koch SM, van Gemert WG, et al. The artificial bowel sphincter for faecal incontinence: a single centre study. Int J Colorectal Dis. 2008;23(1):107–111. DOI:10.1007/s00384-007-0357-0
  • Ruiz Carmona MD, Alos Company R, Roig Vila JV, et al. Long-term results of artificial bowel sphincter for the treatment of severe faecal incontinence. Are they what we hoped for? Colorectal Dis. 2009;11(8):831–837. DOI:10.1111/j.1463-1318.2008.01652.x
  • Wong MTC, Meurette G, Wyart V, et al. The artificial bowel sphincter a single institution experience over a decade. Ann Surg. 2011;254(6):951–956.
  • Darnis B, Faucheron J-L, Damon H, et al. Technical and functional results of the artificial bowel sphincter for treatment of severe fecal incontinence: is there any benefit for the patient? Dis Colon Rectum. 2013;56(4):505–510.
  • Wang XF, DaSilva G, Maron DJ, et al. Outcomes Of reimplantation of the artificial bowel sphincter. Dis Colon Rectum. 2016;59(2):122–126.
  • BU GM, Löhnert M, Löhnert M, et al. Experience with a new prosthetic anal sphincter in three coloproctological centres. BMC Surg. 2013;13(1):45. DOI:10.1186/1471-2482-13-45
  • Baumgartner U. The artificial sphincter: therapy for faecal incontinence. Zbl Chir. 2012;137(4):340–344.
  • Finlay IG, Richardson W, Hajivassiliou CA. Outcome after implantation of a novel prosthetic anal sphincter in humans. Brit J Surg. 2004;91(11):1485–1492. DOI:10.1002/bjs.4721
  • Hajivassiliou CA, B CK, Finlay IG. Finlay I G assessment of a novel implantable artificial anal sphincter. Dis Colon Rectum. 1997;40(6):711–717.
  • Schrag HJ, Padilla FF, Doll A, et al. German artificial sphincter system-GASS - Development of a novel and highly integrated sphincter prosthesis for therapy of major fecale incontinence based on piezotechnology. Biomed Tech. 2004;49(10):274–278.
  • Doll A, Heinrichs M, Goldschmidtboeing F, et al. A high performance bidirectional micropump for a novel artificial sphincter system. Sensor Actuat A-Phys. 2006;130:445–453.
  • Doll A, Reimers S, Heinrichs M, et al. A high performance bidirectional micropump for a novel artificial sphincter system. In: 13th International Conference on Solid-State Sensors, Actuators and Microsystems; Seoul, South Korea; 2005. p. 188–191.
  • Schrag HJ, Ruthmann O, Doll A, et al. German artificial sphincter system-GASS II: short time in vivo evaluation of a novel and highly integrated sphincter prosthesis for therapy of major fecale incontinence. Biomed Tech. 2005;50(11):371–374. DOI:10.1515/BMT.2005.053
  • Doll AF, Wischke M, Geipel A, et al. A novel artificial sphincter prosthesis driven by a four-membrane silicon micropump. Sensor Actuat A-Phys. 2007;139(1–2):203–209. DOI:10.1016/j.sna.2007.03.025
  • Ruthmann O, Richter S, Seifert G, et al. The first teleautomatic low-voltage prosthesis with multiple therapeutic applications: a new version of the German artificial sphincter system. Artif Organs. 2010;34(8):635–641. DOI:10.1111/j.1525-1594.2010.01004.x
  • Huang ZH, Shi FJ, Chen F, et al. In Vitro and In vivo assessment of an intelligent artificial anal sphincter in rabbits. Artif Organs. 2011;35(10):964–U987. DOI:10.1111/j.1525-1594.2010.01186.x
  • Ke L, Yan GZ, Liu H, et al. A novel artificial anal sphincter system in an in vitro and in vivo experiment. Int J Artif Organs. 2014;37(3):253–263. DOI:10.5301/ijao.5000312
  • Ke L, Yan GZ, Wang YB, et al. Design and evaluation of an intelligent artificial anal sphincter system powered by an adaptive transcutaneous energy transfer system. Int J Artif Organs. 2015;38(3):154–160.
  • Ke L, Yan GZ, Yan S, et al. Optimal design of litz wire coils with sandwich structure wirelessly powering an artificial anal sphincter system. Artif Organs. 2015;39(7):615–626.
  • Jin WT, Yan GZ, Wu H, et al. Preliminary study of a novel puborectalis-like artificial anal sphincter. Artif Organs. 2017;41(9):845–851.
  • Zhou ZR, Yan GZ, Wang ZW, et al. A novel power supply system for puborectalis-like artificial anal sphincter. Artif Organs. 2019;43(6):E109–E123.
  • Zhou Z, Yan G, Wang Z, et al. Inhibition of hyperplasia during the implantation of the puborectalis-like artificial anal sphincter. Int J Artif Organs. 2020;43(7):482–493. DOI:10.1177/0391398819900187
  • Zhou ZR, Yan GZ, Wang ZW, et al. Design and evaluation of puborectalis-like artificial anal sphincter that replicates rectal perception. Artif Organs. 2020;44(7):E300–E312. DOI:10.1111/aor.13645
  • Han D, Yan G, Wang Z, et al. A novel artificial puborectalis anal sphincter system based on transcutaneous energy transfer with rectal perception remodelling. In: 14th IEEE International Conference on Electronic Measurement & Instruments (ICEMI); Changsha, PEOPLES R CHINA; 2019. p. 1643–1649.
  • Ke L, Yan GZ, Yan S, et al. Coupling analysis of transcutaneous energy transfer coils with planar sandwich structure for a novel artificial anal sphincter. J Zhejiang U-Sci C. 2014;15(11):1021–1034.
  • Wang YB, Liu H, Xu QQ, et al. Novel artificial anal sphincter system based on transcutaneous energy transmission system tested in vivo. Int J Artif Organs. 2013;36(12):900–906.
  • Zan P, Yan GZ, Liu H. Modeling of human colonic blood flow for a novel artificial anal sphincter system. J Zhejiang Univ-Sc B. 2008;9(9):734–738. DOI:10.1631/jzus.B0820099
  • Zan P, Yan G, Liu H. Analysis of electromagnetic compatibility in biological tissue for a novel artificial anal sphincter. IET Sci Meas Technol. 2009;3(1):22–26.
  • Zan P, Yang B, Zhang JY, et al. Research on a novel artificial anal sphincter for human incontinence. J Med Eng Technol. 2010;34(7–8):386–392.
  • E-Y J, Zan P, X-J Z, et al. Rectal perception function rebuilding based on wavelet packet analysis and support vector machine. J Appl Sci (China). 2012;30(5):538–544.
  • Zan P, Liu JD, Jiang EY, et al. Assessment and in vitro experiment of artificial anal sphincter system based on rebuilding the rectal sensation function. Int J Artif Organs. 2014;37(5):392–401.
  • Zan P, Zhao J, Yang LH. Research on biomechanical compatibility for the artificial anal sphincter based on rectal perception function reconstruction. IET Sci Meas Technol. 2015;9(8):921–927.
  • Zan P, Zhang C, Zhang S, et al. Research on the bio-electromagnetic compatibility of artificial anal sphincter based on transcutaneous energy transfer. In: International Conference on Life System Modeling and Simulation (LSMS); Nanjing, PEOPLES R CHINA; 2017. p. 537–546.
  • Zan P, Ren P, Shao Y, et al. Study on reconstruction of rectal sensation based on wavelet packet analysis and SVM strategy. J Med Eng Technol. 2012;36(4):205–209.
  • Peng Z, Qiao D, Banghua Y, et al. Research on biomechanical compatibility of improved artificial anal sphincter actuator and experimental verification. J Med Devices. 2021;15(3):31003–31011. DOI:10.1115/1.4050659
  • Lehur P-A, McNevin S, Buntzen S, et al. Magnetic anal sphincter augmentation for the treatment of fecal incontinence: a preliminary report from a feasibility study. Dis Colon Rectum. 2010;53(12):1604–1610.
  • Mantoo S, Meurette G, Podevin J, et al. The magnetic anal sphincter: a new device in the management of severe fecal incontinence. Expert Rev Med Devices. 2012;9(5):483–490.
  • DeStephano CC, Chen AH, Pettit PD. The fenix system for fecal incontinence: an overview and surgical demonstration. J Minim Invas Gyn. 2017;24(7):1078–1079.
  • Sugrue J, Lehur P-A, 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. DOI:10.1097/DCR.0000000000000709
  • Wong MTC, Meurette G, Stangherlin P, et al. The magnetic anal sphincter versus the artificial bowel sphincter: a comparison of 2 treatments for fecal incontinence. Dis Colon Rectum. 2011;54(7):773–779.
  • Wong MTC, Meurette G, Wyart V, et al. Does the magnetic anal sphincter device compare favourably with sacral nerve stimulation in the management of faecal incontinence? Colorectal Dis. 2012;14(6):E323–E329.
  • Barussaud ML, Mantoo S, Wyart V, et al. The magnetic anal sphincter in faecal incontinence: is initial success sustained over time? Colorectal Dis. 2013;15(12):1499–1503.
  • Pakravan F, Helmes C. Magnetic anal sphincter augmentation in patients with severe fecal incontinence. Dis Colon Rectum. 2015;58(1):109–114.
  • Kim M, Lehur P-A. 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):901–903.
  • Espinal M, DeStephano CC, Guha P, et al. Robotic Placement of the FENIX Continence Restoration System in a Patient with Previous Radiation to the Pelvis: a Case Report. J Minim Invas Gyn. 2018;25(3):528–532.
  • Pakravan F, Helmes C, Alldinger I. Implantation eines analen Magnetsphinkters bei Patienten mit Stuhlinkontinenz nach Funktionsverlust eines „artificial bowel sphincter“. Coloproctology. 2018;41(S1):23–25.
  • Kim M, Meurette G, Ragu R, et al. Functional Results and Quality of Life Following Magnetic Anal Sphincter Augmentation in Severely Incontinent Patients. Ann Surg. 2019;269(2):310–314.
  • Jani JM, Leary M, Subic A, et al. A review of shape memory alloy research, applications and opportunities. Mater Design. 2014;56:1078–1113.
  • Niinomi M, Nakai M, Hieda J. Development of new metallic alloys for biomedical applications. Acta Biomater. 2012;8(11):3888–3903.
  • Chen YJ, Chen C, Rehman HU, et al. Shape-Memory Polymeric Artificial Muscles: mechanisms, Applications and Challenges. Molecules. 2020;25(18):27. DOI:10.3390/molecules25184246
  • Amae S, Wada M, Luo Y, et al. Development of an implantable artificial anal sphincter by the use of the shape memory alloy. Asaio J. 2001;47(4):346–350. DOI:10.1097/00002480-200107000-00010
  • Luo Y, Higa M, Amae S, et al. Preclinical development of SMA artificial anal sphincters. Minimally Invasive Ther All Technol. 2006;15(4):241–245. DOI:10.1080/13645700600836695
  • Luo Y, Takagi T, Okuyama T, et al. Functional evaluation of an artificial anal sphincter using shape memory alloys. Asaio J. 2004;50(4):338–343. DOI:10.1097/01.MAT.0000131819.07741.EF
  • Liu HJ, Luo Y, Higa M, et al. Biochemical evaluation of an artificial anal sphincter made from shape memory alloys. J Artif Organs. 2007;10(4):223–227. DOI:10.1007/s10047-007-0395-y
  • Wu Y, Wang MH, Luo Y. A novel artificial sphincter for functional assist to human puborectalis. Int J Appl Electrom. 2012;39(1–4):457–462.
  • Hong KD, Dasilva G, Kalaskar SN, et al. Long-Term Outcomes of Artificial Bowel Sphincter for Fecal Incontinence: a Systematic Review and Meta-Analysis. J Am Coll Surg. 2013;217(4):718–725.
  • Yu ZT, Zhang MH, Tian YX, et al. Designation and development of biomedical Ti alloys with finer biomechanical compatibility in long-term surgical implants. Front Mater Sci. 2014;8(3):219–229. DOI:10.1007/s11706-014-0254-8

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