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Especially for patients with an internal sphincter defect and reduced anal resting tone who often have predominantly passive incontinence, injectable biomaterials may be considered (ie, nonanimal stabilized hyaluronic acid/ dextranomer [NASHA/ Dx], which is the only approved submucosal agent)

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This compounded version offers an alternative to branded medications, allowing for customized dosing and potentially lower costs while maintaining effectiveness

While we encourage interested parties to first review our resources available at , we know that there may be additional questions about the application process