What is Solesta?

Solesta is a new treatment for accidental bowel leakage, also known as fecal incontinence. The treatment consists of a gel that is given through 4 injections into the wall of the anal canal, which helps give you more control by bulking up the tissue in the anal canal. The gel is similar to the natural starches, sugars, and tissue in your body.


The Solesta procedure, which requires no anesthesia, involves a total of four 1-mL injections in the anal canal. Solesta will work as a bulking agent directly in the anal canal to help treat the patient's fecal incontinence.The injections are administered in sequence at the posterior, left-lateral, anterior, and right-lateral sites. Solesta is administered about 5 mm into the submucosal layer of the anal canal, proximal to the dentate line (about 5 mm above) via anoscope. After injection, the needle should be kept in place for about 15 to 30 seconds to minimize gel extrusion.

After the Procedure

Individuals who receive SOLESTA injection therapy for fecal incontinence may resume light physical activity immediately following the procedure. In most cases, individuals can return to normal activities within one week. While SOLESTA may begin working immediately, results are typically seen within the first four weeks. Optimal results are most often reached at three months following the procedure.

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