{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T13:58:22Z","timestamp":1766066302039},"reference-count":16,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T00:00:00Z","timestamp":1384992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>In the short term, implantation of a magnetic anal sphincter (<jats:styled-content style=\"fixed-case\">MAS<\/jats:styled-content>) is a safe and effective treatment for faecal incontinence (<jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>). In this paper we show that the initial results stand the test of time and patient satisfaction remains high in the medium term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data on 23 women [median age 64 (35\u201378) years] implanted with a <jats:styled-content style=\"fixed-case\">MAS<\/jats:styled-content> device between December 2008 and September 2012 were reviewed from a prospective database. Assessment was based on significant improvement of incontinence scores \u2013 the Cleveland Clinic Florida Incontinence Severity (<jats:styled-content style=\"fixed-case\">CCF<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IS<\/jats:styled-content>) score, Faecal Incontinence Quality of Life (<jats:styled-content style=\"fixed-case\">FIQ<\/jats:styled-content>oL) score \u2013 and patient satisfaction at 6, 12, 24 and 36\u00a0months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The device was removed in two patients owing to complications. Median follow\u2010up was 17.6\u00a0months. The median preoperative <jats:styled-content style=\"fixed-case\">CCF<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IS<\/jats:styled-content> score was 15.2 and fell to 6.9, 7.7, 7.8 and 5.3 at 6, 12, 24 and 36\u00a0months, respectively. The median <jats:styled-content style=\"fixed-case\">FIQ<\/jats:styled-content>oL score significantly (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001) improved from 1.97 preoperatively to 3.19, 3.11, 2.92 and 2.93, respectively, at the same time periods. The concordance of the <jats:styled-content style=\"fixed-case\">CCF<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FIQ<\/jats:styled-content>oL scores was 91%. Sixteen of the 23 patients were satisfied but only 14 would have recommended the <jats:styled-content style=\"fixed-case\">MAS<\/jats:styled-content> to someone else. Lack of improvement was the main reason for dissatisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Good initial results tend to remain stable over time and about two\u2010thirds of patients are satisfied after <jats:styled-content style=\"fixed-case\">MAS<\/jats:styled-content> implantation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12423","type":"journal-article","created":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T15:20:59Z","timestamp":1381245659000},"page":"1499-1503","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["The magnetic anal sphincter in faecal incontinence: is initial success sustained over time?"],"prefix":"10.1111","volume":"15","author":[{"given":"M.\u2010L.","family":"Barussaud","sequence":"first","affiliation":[{"name":"Service de Chirurgie Digestive University Hospital of Poitiers Poitiers 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