Fecal Incontinence & Defecatory Dysfunction

The term defecatory dysfunction refers to a multitude of complaints that may include having frequent and uncomfortable sensations to have a bowel movement, constipation or the feeling of poor emptying, and leakage of gas/ diarrhea/ and/or solid stool.

With careful understanding of your complaint, a basic physical exam, and sometimes imaging and/or manometry testing, we are often able to determine effective therapies that are tailored to the individual’s needs. Therapies include dietary changes, physical therapy, medications, bulking, and surgery. Recently, the FDA approved sacral neuromodulation (Interstim) for the treatment of fecal incontinence. To understand how neuromodulation works for fecal incontinence please copy the following link and paste to your browser:

A newer FDA approved therapy, Solesta, is also available for the treatment of fecal incontinence. Dr. Minaglia is one of the first doctors in Hawaii to receive training on the use of Solesta.

Solesta is a gel that is given through 4 injections into the wall of the anal canal. It helps give more control by bulking up the tissue in the anal canal. The injections do not usually cause pain and anesthesia is not necessary. The procedure can be done in an office setting.

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. For more information click on the link below: