The anal continence plug: a disposable device for patients with anorectal incontinence

Lancet. 1991 Aug 3;338(8762):295-7. doi: 10.1016/0140-6736(91)90428-r.


Anorectal incontinence is most commonly found in the elderly, but colorectal surgeons now see an increasing number of younger patients with this condition. Although medical and surgical treatments are available, a proportion of patients remain refractory to therapy. We investigated the efficacy of three designs of anal continence plug. 8 women and 2 men (mean age, 52 years) who were incontinent to both liquid and solid stool tested each plug for three consecutive weeks. 1 patients withdrew from the study. The median weartime for the optimum plug design was 12 h, and there were no episodes of incontinence in 82% of the periods during which the plug was in place. Patients required a median of eleven plugs per week, and in 82% of cases insertion was as easy as with a suppository. Plugs may have a place in the management of patients with anorectal incontinence.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Consumer Behavior
  • Fecal Incontinence / prevention & control*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Tampons, Surgical*
  • Urinary Incontinence / prevention & control*