Objective Few studies have addressed the use of sacral nerve stimulation (SNS) in the treatment of patients with multiple pelvic floor dysfunctions (PFD). So, we evaluated the functional outcomes and level of satisfaction with SNS in selected patients with one or multiples PFD. Methods A prospective database was used to collect information on eligible patients treated for PFD with SNS, and severity of symptoms was assessed with scores and satisfaction rates by visual analogue scale (VAS) at baseline and by the end of follow-up. Results We recruited 70 patients, 98.6% of whom responded positively during the evaluation period (Global Response Assessment ≥ 50% for at least one type of PFD), resulting in the implantation of a permanent SNS device. Additionally, 49 of the patients (71%) had a single PFD (fecal incontinence [FI] = 38; constipation/obstructed defecation syndrome [C/ODS] = 11), while 20 (29%) had more than one PFD (double incontinence/n = 12; double incontinence + C/ODS/n = 8). All scores improved significantly between baseline (pre-SNS) and the end of follow-up (post-SNS), as did VAS in all groups (single and multiple PFD). The pre-SNS scores were higher in patients with a single PFD, including FI (Cleveland clinic Florida incontinence score [CCF-FI]) and C/ODS (Cleveland clinic constipation score [C-CCF] and the Renzi ODS score). The pre-SNS impact of VAS scores was similar in all groups (single and multiple PFD), but the VAS (post-SNS) was significantly lower (better response) for FI alone compared with multiple PFD. Conclusion The SNS technique is an effective and safe option for patients with one or more PFD refractory to conservative measures. Response was positive for at least two PFD, based on reduced correspondent scores and satisfaction rate.

As urgências traumáticas são causas de mortalidade frequentes no Brasil, tornando-se fundamental o conhecimento da população leiga acerca da maneira correta de como agir nesses determinados cenários. Desse modo, este trabalho objetivou analisar o conhecimento de leigos acerca de urgências traumáticas, identificando as principais lacunas do entendimento geral sobre o assunto. O estudo foi desenvolvido por meio da aplicação de um questionário online, composto por questões que abordaram temas como acidentes por animais peçonhentos, queimaduras, afogamento, engasgo, intoxicação por álcool, politrauma e hemorragias, a fim de obter informações sobre como os leigos entrevistados reagiriam a cada uma das situações. Assim, foram analisadas as respostas coletadas e os resultados para cada uma das perguntas acerca das urgências traumáticas, chegando-se a identificação das situações com maior ou pior índices de acertos. Dessa forma, mostra-se imprescindível a capacitação da população em geral sobre como agir em determinadas situações.

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