NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Process IP
ID number 1764
Description Self-expanding implant insertion into the intersphincteric space for faecal incontinence is done using local or general anaesthesia, with ultrasound guidance. About 6 to 10 small (2 mm) incisions are made in the perianal skin, equidistant to each other, about 2 cm from the anal margin. An introducer is inserted into each incision in turn, pushed through a short subcutaneous tunnel and into the intersphincteric space. The implant is deployed in the desired position within the intersphincteric space. This is repeated around the entire circumference of the internal anal sphincter. The incisions are sutured with resorbable material. Patients are advised to avoid any heavy physical activity for a few days after surgery. One type of implant is a solid polyacrylonitrile cylinder (non-biological) that becomes thicker, shorter and softer over 1 to 2 days after implantation. The implants expand and press together, forming a ring that creates an artificial sphincter. The aim is to give the person more control over their ability to control defaecation.

Provisional Schedule

Expected publication 27 January 2021

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Timeline

Key events during the development of the guidance:

Date Update
03 July 2020 - 31 July 2020 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance