The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on injectable bulking agents for faecal incontinence.


Faecal incontinence is when a person loses the ability to control their bowel movements. The procedure involves injecting a material into the muscles around the anus (anal sphincter) with the aim of bulking the sides of the sphincter. Different materials are available to provide the extra strength, and these are called bulking agents.

Coding recommendations

H57.8 Other specified other operations on the anal sphincter to control continence

Y39.3 Injection of inert substance into organ NOC