Evidence map›Paper›PMID 42482523›Full record

Trial reportAlimentary pharmacology & therapeutics2026

Clinical Trial: Effectiveness and Safety of a Novel Anal Insert Device for Treatment of Faecal Incontinence.

Adil E Bharucha, Ramesh Lamichhane, Joel G Fletcher, Nicholas R Oblizajek, Misha Gautam, Kent R Bailey, Lawrence A Szarka

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03898778 (Effects of the Minnesota Medical Technologies Anal Insert Device in Fecal Incontinence), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03898778 nacompletednot on this map

Effects of the Minnesota Medical Technologies Anal Insert Device in Fecal Incontinence

TypeinterventionalSponsorMinnesota Medical TechnologiesRan2019 to 2024Enrolled124ConditionsFecal IncontinenceArmsMinnesota Medical Technologies Anal Insert Device
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Adil E BharuchaDivision of Gastroenterology and Hepatology (Bharucha, Oblizajek, and Szarka), Department of Radiology (Fletcher), and Division of Clinical Trials and Biostatistics (Bailey), Mayo Clinic, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
Ramesh LamichhaneDivision of Gastroenterology and Hepatology (Bharucha, Oblizajek, and Szarka), Department of Radiology (Fletcher), and Division of Clinical Trials and Biostatistics (Bailey), Mayo Clinic, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
Joel G FletcherDivision of Gastroenterology and Hepatology (Bharucha, Oblizajek, and Szarka), Department of Radiology (Fletcher), and Division of Clinical Trials and Biostatistics (Bailey), Mayo Clinic, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
Nicholas R OblizajekDivision of Gastroenterology and Hepatology (Bharucha, Oblizajek, and Szarka), Department of Radiology (Fletcher), and Division of Clinical Trials and Biostatistics (Bailey), Mayo Clinic, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0001-6444-3386
Misha GautamDivision of Gastroenterology and Hepatology (Bharucha, Oblizajek, and Szarka), Department of Radiology (Fletcher), and Division of Clinical Trials and Biostatistics (Bailey), Mayo Clinic, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0002-3826-2132
Kent R BaileyDivision of Gastroenterology and Hepatology (Bharucha, Oblizajek, and Szarka), Department of Radiology (Fletcher), and Division of Clinical Trials and Biostatistics (Bailey), Mayo Clinic, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
Lawrence A SzarkaDivision of Gastroenterology and Hepatology (Bharucha, Oblizajek, and Szarka), Department of Radiology (Fletcher), and Division of Clinical Trials and Biostatistics (Bailey), Mayo Clinic, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.

Funding

minnesota medical technologies
6 · The paper itself

Abstract

backgroundTreatment options for medically-refractory faecal incontinence (FI)-including anorectal biofeedback, dextranomer injection, and sacral nerve stimulation-are limited and outcomes are often suboptimal. Anal or vaginal insert devices are infrequently used.

aimsWe evaluated the safety and effectiveness of a new anal insert device (StaySure) in patients with FI.

methodsPatients with FI for ≥ 6 months and ≥ 4 moderate or large FI episodes during a 4-week baseline entered a 2-4 week fitting/run-in period to individualise device size (10 or 13 mm) followed by a 4-week treatment period. Outcomes included effectiveness, safety, and quality of life (QoL). The primary outcome was the proportion achieving a ≥ 50% reduction in FI frequency.

resultsOf 124 enrolled patients, 98, 71, and 61 progressed through the baseline, fitting/run-in, and treatment phases respectively, with few exclusions due to device intolerance. In the intent-to-treat cohort of 59 participants (93% women), mean (SD) number of days with FI declined from 13.2 (7.0) to 6.3 (6.9), and FI weekly episodes declined from 5.4 (6.9) to 2.1 (5.1) (69% reduction; p < 0.001) with similar results for both device sizes. The primary endpoint was achieved in 76.3% of participants; 54.2% achieved ≥ 75% reduction. The FIQoL overall score increased from a mean (SD) of 1.9 (0.6) to 2.3 (0.6) (p < 0.001), indicating improved QoL. Improvements in FI frequency, FIQoL exceeded minimal clinically important difference thresholds, confirming clear clinical benefit. No treatment-related serious adverse events were reported.

conclusionsThe StaySure anal insert device is safe, well tolerated, and effective in reducing FI in patients with moderate to severe symptoms refractory to conservative therapies.

trial registrationClinicalTrials.gov identifier: NCT03898778.

Indexed as

Anal CanalFecal IncontinenceAdultAgedFemaleHumansMaleMiddle AgedQuality of LifeTreatment Outcomeaccidental bowel leakageanal barrier deviceanal incontinencefaecal incontinencequality of life

Identifiers

PMID42482523
PMCPMC13466252

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.