What is Solesta?
Solesta is a tissue bulking agent that is injected into the tissue of the anal canal. It narrows that anal canal to help improve sphincter control.
Why is Solesta Done?
Solesta is done to help decrease fecal leakage and incontinence. It is for patients who have failed conservative therapy, such as fiber, medications, and kegal exercises. Fecal incontinence can greatly reduce a person’s quality of life, and Solesta can help regain control of the bowels.
How Should I Prepare for the Solesta Injection?
You can be awake or asleep for the procedure. If you choose to be sedated, you will need to fast after midnight and have a driver take you home from the procedure.  You will need to give yourself an enema the evening before the procedure, and an enema the morning of the procedure.
What Can I Expect During Solesta Injection?
You can be awake or sedated for the procedure. If you are awake, you will experience some rectal pressure from insertion of the anoscope, which is a small device that will be inserted into the rectum during the injection. The injections are done in an area of the rectum where there you do not have pain receptors, so you should not experience any pain during the procedure. You may have some pressure or discomfort during the procedure, from the insertion of instruments, but should not experience any pain.
What Happens After Solesta Injection?
Some people experience symptom improvement immediately after Solesta injection, and others may not feel the full effect of Solesta until 3-6 months after treatment. It bulks the rectal vault, improving control of the bowels, and decreasing leakage and incontinence.
What are the Possible Complications of Solesta?
It is unusual to have discomfort or pain after the procedure, but this is a possible complication of Solesta, as well as minor rectal bleeding afterwards. Other possible, but rare, complications include fever, altered bowel habits, infection at injection site, or inflammation of the surrounding tissue.