Don’t Suffer In Silence… We Can Help With Our Breakthrough Treatments For Fecal Incontinence

Centers Of Innovation

Fecal Incontinence

CARI Offers Breakthrough Therapies for Fecal Incontinence.

Most people feel more than a bit uneasy when they consider talking to their friends, family, and doctor about bowel incontinence. If you suffer from the inability to control your bowel movements, you are not alone. This condition affects millions of people. According to the National Institute of Health, more than 18 million Americans suffer from fecal incontinence.

New InterStim® Therapy (Sacral Nerve Stimulation) and Solesta® Injection Treatments.

The physicians at CARI take a special interest in fecal incontinence and have brought leading edge treatments to their patients of the Lehigh Valley. Our physicians offer minimally invasive techniques (like InterStim® Therapy) and office-based injection therapy (like Solesta®) to help their patients find relief from the loss of bowel control. CARI’s own Dr. Indru Khubchandani is the Lehigh Valley’s only physician to perform Solesta Injection Therapy for fecal incontinence, while Dr. David Bub is one of the area’s preeminent providers of InterStim® Therapy.


What is Fecal Incontinence?

Bowel incontinence, also known as fecal incontinence (FI), prevents you from controlling your bowel movements. You may experience unexpected leaks, or use the bathroom very frequently. Some people experience a combination of these symptoms. Some people may suffer from bowel incontinence due to not being able to sense a bowel movement, while others are able to sense a bowel movement but cannot hold it until they get to a bathroom.

What are the Causes and Conservative Treatments of Fecal Incontinence? CLICK HERE


CARI Offers New options to treat fecal incontinence

Solesta® Injection Therapy

CARI is the Lehigh Valley’s only practice to provide Solesta Injection Therapy®. Solesta is composed of naturally made materials called dextranomer and sodium hyaluronate. The gel is similar to the natural starches, sugars, and tissue in your body. Solesta is an option after conservative methods have failed, but before you consider undergoing surgery.

Here’s How It Works:

Solesta is a gel that is given through 4 injections into the wall of the anal canal. It helps give you more control by bulking up the tissue in the anal canal. Since the injections are well tolerated by most patients, anesthesia is not necessary. Solesta is injected during an office visit.

  • The Solesta treatment procedure is done in your doctor’s office and takes about 10 minutes
  • No anesthesia is required
  • You may resume limited physical activity immediately after the procedure
  • You can resume a normal lifestyle and all physical activities after 1 week
  • Solesta may begin working soon after the procedure, with optimal results at 3 months for many patients
  • Solesta has been shown to provide long lasting results. It was shown to be effective in patients for 2 years, and patients’ results are still being followed for a 3-year period.
  • Most patients noticed a reduction in accidents (of up to 60%) and other changes that helped improve their lifestyle.

To learn more about Solesta visit: http://www.solestainfo.com/patients/how_solesta_can_help.aspx


InterStim® Therapy

interstimThe surgeons at CARI offer neuromodulation to patients who have not had success with more conservative treatments. InterStim® Therapy (SNS) is an FDA-approved neurostimulation therapy that targets the communication problem between the brain and the nerves that control bowel function. If those nerves are not communicating correctly, the bowel muscles may not function properly and may cause bowel control problems.

CARI surgeon, Dr. David Bub has performed countless InterStim placements on his patients and chooses it as a primary treatment for patients with fecal incontinence. Over 70% of patients have experienced excellent results, with some even obtaining perfect control after the procedure. Neurostimulation can eliminate or reduce your symptoms to a tolerable level and allow you to resume your daily activities and “get your life back”.

Is InterStim Therapy (SNS) Right for You?

logo-interstimInterStim® Therapy is designed to minimize the symptoms of bowel incontinence, including the leakage of liquid or solid stools. Prior to undergoing a permanent implantation of the neurostimulation device patients undergo a trial assessment. This lets you try neurostimulation to see if it is right for you without making a long-term commitment. The trial assessment may take a few to several days to complete.

Here’s How It Works

  • InterStim® Therapy is an outpatient procedure that is performed in the operating room.
  • Your doctor will implant a thin, flexible wire (also known as a “lead”) near your tailbone. The wire is taped to your skin and connected to a small external device which you’ll wear on your waistband.
  • The external device sends mild electrical pulses through the wire to nerves near your tailbone. The stimulation may get your bowel working the way it is supposed to. During the trial assessment, you’ll wear an external neurostimulator on your waistband for several days. You can continue many of your low- to moderate-level daily activities with caution. You can usually continue to work throughout your trial assessment if your job doesn’t require strenuous movement.
  • You’ll be asked to document your symptoms. The trial assessment will help your doctor determine the next course of treatment for your bowel control problems. Your doctor or nurse will give you information about operating the test stimulator. He or she will also tell you about any precautions or activity restrictions related to the trial assessment.
  • If neurostimulation has worked for you in the trial period, a flexible wire (also known as a “lead”) and a neurostimulator are implanted under the skin permanently. This is done during a minimally invasive outpatient procedure.

To learn more about InterStim Therapy and/ or Solesta Injection Therapy and to find out if you are a candidate, please call our office to schedule an appointment.