Australian Government - Department of Health and Ageing

Medical Services Advisory Committee (MSAC)

Application 1100

Intersphinteric Injection of Silicone Biomaterial for Severe Passive Faecal Incontinence

Intersphinteric Injection of Silicone Biomaterial for Severe Passive Faecal Incontinence

Application No.

1100

Application NameIntersphinteric Injection of Silicone Biomaterial for Severe Passive Faecal Incontinence
Advisory PanelsDr Doug Travis
(Chair and MSAC member)
Dr Nicholas Rieger
(Royal Australian College of Surgeons nominee)
Dr Ewa Peijko
(MSAC member)
Dr James Keck
(Colorectal Surgery Soicety of Australia nominee)
Dr Michael Whishaw
(co-opted member)
Ms Sheila Rimmer
(Consumers' Health Forum of Australia nominee)
Date Received by MSAC SecretariatAugust 2005
Stage 1 - EligibilityEligible
Stage 2 - AssessmentCompleted
Stage 3 - Formulation of Advice to the MinisterThis assessment was considered by the MSAC at the 15 November 2006 meeting.

Intersphincteric injection of silicone biomaterial for severe passive faecal incontinence appears to be safe.

There is some low level evidence of short-term effectiveness but no evidence of long-term effectiveness.

In view of the lack of acceptable alternative therapies, a limited assessment of the financial impact was carried out. This demonstrated high cost mainly due to the cost of the prosthesis. MSAC does not recommend public funding for this procedure at this time.
Stage 4 - DecisionEndorsed by the Minister for Health and Ageing on
5 February 2007
Stage 5 - Implementation
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Page currency, Latest update: 01 June, 2009