Transabdominal artificial bowel sphincter implantation for faecal incontinence (IPG276)
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on transabdominal artifical bowel sphincter implantation for faecal incontinence.
Faecal incontinence occurs when a person loses the ability to control their bowel movements, resulting in leakage of faeces. It can happen as a result of congenital abnormalities of the anal sphincter (the ring of muscle that keeps the anus closed), injury to the sphincter during childbirth or surgery, disease of the nervous system, prolapse of the pelvic organs or pelvic radiotherapy. In this procedure, an inflatable circular cuff is placed in the anorectal area. The cuff is controlled using a pump that is implanted under the skin in the lower half of the abdomen and connected to a reservoir of fluid. Pressure on the pump allows fluid to move to and from the cuff, to open or close the anus and allow bowel movements to be controlled.
H57.1 Placement of artificial anal sphincter NEC
Y50.2 Laparotomy approach NEC
Z29.8 Specified part of bowel NEC
The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. ††The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.† www.connectingforhealth.co.uk/clinicalcoding
- IPG276 Transabdominal artificial bowel sphincter implantation for faecal incontinence: guidance (web format)
- Transabdominal artificial bowel sphincter implantation for faecal incontinence (interventional procedures consultation)
- Transabdominal artificial bowel sphincter implantation for faecal incontinence (interventional procedures overview)
- IPG276 Transabdominal artificial bowel sphincter implantation for faecal incontinence: guidance
- IPG276 Transabdominal artificial bowel sphincter implantation for faecal incontinence: understanding NICE guidance
- IPG276 Transabdominal artificial bowel sphincter implantation for faecal incontinence: understanding NICE guidance (MS Word format)
This page was last updated: 18 February 2011
- Web format
- Full Guidance (PDF)
- IPG276 Trin anymataliaeth ysgarthion ‚ sffincter artiffisial a osodir drwy doriad yn yr abdomen: deall canllawiau NICE (fformat MS Word)
Information for the public
Implementation tools and resources
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.