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THD Gatekeeper procedure


  • What is THD Gatekeeper procedure?


THD, an Italian company that, for many years now, has offered simple and minimally invasive solutions for colorectal disorders, has developed a new minimally invasive method for the treatment of faecal incontinence: the THD Gatekeeper method.

Faecal incontinence and soiling are very common problems, although sufferers find it difficult to ask for help or turn to specialists because of the embarrassment and shame that this disorder causes.


The THD Gatekeeper method was tried by Dr. Carlo Ratto of the Policlinico Gemelli in Rome, an expert recognized by the international scientific community as a reference in research on colorectal disorders and in particular on Faecal Incontinence.

Thanks to self-expanding devices, the THD Gatekeeper method improves the functionality and support of the anal sphincters.


  • How?


It is not always down to a change in diet: biofeedback and pharmacological treatment make it possible to effectively resolve the problem. The surgical methods that are currently available, although effective, are invasive and often accompanied by a significant recurrence rate.


Other minimally invasive methods offer good immediate results, but a limited effect in the medium term (a few months).


The THD Gatekeeper method is a minimally invasive intervention performed under short-acting local anaesthesia (approximately 30 minutes); it involves the insertion of self-expanding devices capable of supporting anal sphincter   function.


Patients are required to rest for around 48 hours after which they can return to their normal activities.


The post-operative period must be carefully followed by the surgeon to check that the device has adjusted normally. The surgeon will advise patients on the best dietary habits and lifestyle to follow.

Depending on the degree of severity of the condition and personal predisposition, patients report significant improvements including in their psychological state, which is usually associated with the disorder.


The publication of the results of the Gatekeeper method in the British Journal of Surgery , one of the most important scientific journals in the field, shows that the effects of the Gatekeeper method are durable over time, even years later.


  • Where?


The THD Gatekeeper method is proposed in centres specializing in the treatment of faecal incontinence upon evaluation by a surgeon.


The minimal invasiveness and the excellent quality of the results are arousing great interest in the scientific community with an increasing number of centres employing the Gatekeeper method.


For UAE centre where you can find THD Gatekeeper procedure, dial  +9714 3212124 .


  • When?


Early diagnosis of faecal incontinence makes it easier to solve the problems that this implies.

Those who suffer from faecal incontinence have to live with embarrassment and shame and patients are forced to limit social relationships, trips out and family or work relationships are often likely to be compromised.


The THD Gatekeeper method involves implanting a permanent self-expanding device in the intersphincteric space of the perianal area under local anaesthesia. Unlike other very invasive techniques, the Gatekeeper method, using minimally invasive surgery, aims to cure the problem of faecal incontinence with limited risks, no change in physical appearance and, more importantly, with lasting effects over time.


  • Before and after?


Patients operated on to date using the THD Gatekeeper method have reported a significant improvement in quality of life, with a dramatic (if not total) elimination of episodes of incontinence.


As shown in the scientific publication in the British Journal of Surgery  these results are maintained over time. 


Patients are required to rest for 48 hours after surgery. After this period normal activities can be resumed. Several weeks are nevertheless needed for more demanding physical activities such as running, swimming or other sports. The surgeon's opinion is always essential.

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