Treatment for Fecal Incontinence

SECCA Overview and Additional Information

Secca Therapy is an innovative treatment option for patients suffering from BCD (bowel control disorder).
A SECCA procedure is a day-case in which the Anal Sphincter is treated with radio Frequency (RF) energy and has the effect of remoulding the muscle fibres to restore the efficacy of the Sphincter.
Secca is for patients who have failed to respond to first-line therapies, and would like to avoid invasive surgery or a foreign body implantation.

To complete a successful SECCA prpcedure, the bowel must be clean so that the physician can clearly view the colon. It is very important that you read and follow all the instructions for your bowel preparation well before the procedure. Without proper preparation, the colonoscopy will not be successful and may have to be repeated. You may experience some irritation of the skin around the anus due to passage of liquid stools. This can be eased by:

  • Applying a thin layer of Vaseline around the anus before drinking the PicoPrep, and after each bowel movement
  • Wiping with cotton wool soaked in warm water, rather than using toilet paper. Non-scented disposable wet wipes can also be used. Dry by dabbing with a soft towel or cloth.
  • Sit in a bath filled with warm water, dab dry with a towel and apply Vaseline.

You are given a sedative through an intravenous line. An Anaesthetist will be present during the procedure for a better and safer experience of the procedure. This is provided at an extra cost that might not be covered by your medical fund. Please indicate if you prefer not to have the services of the Anaesthetist. A device called the SECCA is inserted into your bowel, which delivers RF energy to the internal anal sphincter muscle. The procedure is approximately 60 minutes long. After the procedure is done, you will rest for a few minutes in hospital/room. An adult must drive you home.

You will remain in a recovery room for observation until you are ready for discharge. You may feel some cramping or a sensation of having gas, but this soon passes. Avoid driving and operating machinery for 48 hours. Avoid alcohol and take a course of QuatroFlora capsules to restore intestinal flora.
Unless otherwise directed you may resume your normal diet after the SECCA. Wait for 48 hours after the procedure before resuming normal activities e.g. exercise.

For more detailed information about this procedure refer to


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