A novel method of laser as a treatment of anal incontinence | ||
| Journal of Laser Science and Applications | ||
| Articles in Press, Accepted Manuscript, Available Online from 18 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jlsa.2025.380255.1042 | ||
| Authors | ||
| Shady Mohamed Elmosselhy* 1; ismail ahmed shafik2; Mahmoud mohamed Saber3; ahmed abdalla4 | ||
| 1National Institute of laser cairo university | ||
| 2professor of general surgery, faculty of medicine, Cairo university | ||
| 3National Institute of Laser Enhanced Sciences (NILES), Cairo University, 12613, Giza, Egypt. | ||
| 4assistant professor of general surgery, department of general surgery, faculty of medicine, Cairo university | ||
| Abstract | ||
| Background and objective: Anal incontinence is a complex condition resulting from different interacting etiologies. The treatment options either conservative or interventional should be individualized based on the etiology of incontinence and patient’s compliance. Laser has a well-established role in management of stress urinary incontinence by strengthening the anterior vaginal wall and increasing the bladder and urethral support. The aim was to investigate the effectiveness of intra-anal laser in management of anal incontinence. Methods: Fourteen patients with Wexner score ≤8 and six patients with Wexner score 9-12 were treated with intra-anal diode laser 1470nm in non-ablative settings over six sessions with two weeks interval as an office procedure under local anesthesia. Improvement was assessed by declining of Wexner score and improvement of FIQL after the sessions compared to baseline. Anal manometry and endoanal ultrasound were done at 0 and 3 months. Results: Twelve females and eight males with an age ranging between 18 and 82 years with variable duration and severity of anal incontinence were treated. In 90% of patients, trauma to the anal canal was the main cause of incontinence. After the sixth session the mean of Wexner score declined from 7.5 to 3.5 and FIQL improved in all its scales. The procedure was well tolerated with transient self-limited complications. Conclusions: Intra-anal diode laser significantly improved the Wexner and FIQL scores in patients with mild to moderate anal incontinence. It seems a promising non-invasive alternative for these patients or it can be offered when other options are found unsatisfactory. | ||
| Keywords | ||
| anal; incontinence; laser; diode; intra-anal | ||
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