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To evaluate the long term efficacy of temperature-controlled radiofrequency energy (SECCA®) delivery in the anal canal as treatment for faecal incontinence.Twenty-four patients with faecal incontinence (mean age 59 years [range 44-73]; 96% women), received SECCA®-treatment. The patients were divided into two groups according to the treatment year; group I (n = 11) in 2005 and group II (n = 13) in 2006-2007.At 3-month follow-up no changes in anorectal manometry and endosonography were found. At 1 year follow-up, the Vaizey-score of all patients improved from 18.0 to 14.3 (P < 0.001) and in those who improved from 18.2 to 13.1 (P < 0.001). Of group I, 10 patients (91%) were available for 5 year follow-up. Of group II, 12 patients (92%) were available for 3 year follow-up. At 3 year follow-up (range 2.5-3.5), nine patients (75%) in group II improved, of whom six were moderate. The Vaizey score changed from 17.6 to 13.4 (P = 0.03) and in those who improved from18.0 to 12.1 (P = 0.02). At 5 year follow-up, five patients (50%) improved in group I, of whom three were moderate. The Vaizey score changed from 19.1 to 12.0 (P = 0.004) and in those who improved from 18.6 to 8.2 (P = 0.01). One patient underwent colostomy.The SECCA® treatment is apromisingprocedure with a persisting effect after 3 and 5 years for faecally incontinent patients.