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Peer-reviewed veterinary case report

Dog fecal incontinence treated with muscle cells and growth factor

By Oh, Heung-Kwon et al.·Published in International journal of colorectal disease·2015·Department of Surgery, South Korea·View original on PubMed

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Original publication title: Coadministration of basic fibroblast growth factor-loaded polycaprolactone beads and autologous myoblasts in a dog model of fecal incontinence.

Species:
dog

Plain-English summary

A group of ten mongrel dogs with fecal incontinence (FI) had part of their anal sphincter surgically removed to study treatment options. One month later, five dogs received a treatment combining their own muscle cells with special beads containing a growth factor, while the other five received only their muscle cells. The dogs that received the combined treatment showed significantly better improvement in anal muscle function over three months compared to those that only received the muscle cells. This suggests that using both treatments together can help dogs recover better from fecal incontinence.

People also search for: dog fecal incontinence treatment · anal sphincter surgery in dogs · muscle cell therapy for dogs

Abstract

PURPOSE: Basic fibroblastic growth factor (bFGF), a member of the heparin-binding growth factor family, regulates muscle differentiation. We investigated whether coadministration of autologous myoblasts and bFGF-loaded polycaprolactone beads could improve sphincter recovery in a dog model of fecal incontinence (FI). METHODS: FI was induced by resecting 25% of the posterior anal sphincter in ten mongrel dogs. One month later, the dogs were randomized to receive either PKH-26-labeled autologous myoblasts alone (M group, five dogs) or autologous myoblasts and bFGF-loaded polycaprolactone beads (MBG group, five dogs). The outcomes included anal manometry, compound muscle action potentials (CMAPs) of the pudendal nerve, and histology. RESULTS: The increase in anal contractile pressure over 3 months was significantly greater in the MBG group (from 4.85 to 6.83 mmHg) than that in the M group (from 4.94 to 4.25 mmHg), with a coefficient for the difference in recovery rate of 2.672 (95% confidence interval [CI] 0.962 to 4.373, p = 0.002). The change in the CMAP amplitude was also significantly greater in the MBG group (from 0.59 to 1.56 mV) than that in the M group (from 0.81 to 0.67 mV) (coefficient 1.114, 95% CI 0.43 to 1.80, p = 0.001). Labeled cells were detected in 2/5 (40%) and 5/5 (100%) dogs in the M and MBG groups, respectively. CONCLUSION: Coadministration of bFGF-loaded PCL beads and autologous myoblasts improved the recovery of sphincter function in a dog model of FI and had better outcomes than cell-based therapy alone.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25592048/