Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for faecal incontinence: results from a Finnish national cohort study

Kirss, Jaan; Pinta, Tarja; Rautio, Tero; Varpe, Pirita; Kairaluoma, Matti I.; Hyöty, Marja; Hurme, Saija; Böckelman, Camilla; Kairaluoma, Valtteri; Salmenkylä, Sinikka; Victorzon, Mikael

doi:10.1007/s00384-018-3161-0

Cited by 10 publications

(5 citation statements)

References 31 publications

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“…FI was assessed using specific questionnaires in all studies, except for four trials 168 , 213 , 274 , 280 . Twenty‐nine different questionnaires were applied: the most widely adopted were the Wexner score (187 studies), 50 , 52 , 54 , 55 , 59 , 61 , 63 , 66 , 69–71 , 73–83 , 86–92 , 97–99 , 101 , 103–107 , 110 , 114 , 116 , 117 , 120–123 , 126–128 , 130 , 131 , 133 , 135–139 , 141 , 144 , 146–156 , 160 , 164–167 , 169 , 170 , 174 , 177–179 , 182 , 194–203 , 205–208 , 210–212 , 214 , 215 ,…”

Section: Resultsmentioning

confidence: 99%

“…In 13 studies (4.2%) 53 , 58 , 65 , 108 , 111 , 142 , 143 , 145 , 159 , 316 , 337 , 343 , 351 non‐validated questionnaires were used. Anal manometry was used in 126 studies (41.2%) 50 , 53 , 55 , 57 , 61 , 65 , 72 , 73 , 77 , 78 , 80 , 82 , 83 , 85 , 86 , 91 , 92 , 95 , 96 , 98 , 103–107 , 109 , 111 , 115 , 122 , 123 , 125 , 127 , 134 , 141 , 142 , 146 , 151–153 , 155 , 162–165 , 167 , 168 , 170 , 174–176 , 178 , 179 , 183 , 191 , 193 , 199–201 , 204 , 206 , 213 , 217 ,…”

Section: Resultsmentioning

confidence: 99%

“…Anal manometry was used in 126 studies (41.2%) 50 , 53 , 55 , 57 , 61 , 65 , 72 , 73 , 77 , 78 , 80 , 82 , 83 , 85 , 86 , 91 , 92 , 95 , 96 , 98 , 103–107 , 109 , 111 , 115 , 122 , 123 , 125 , 127 , 134 , 141 , 142 , 146 , 151–153 , 155 , 162–165 , 167 , 168 , 170 , 174–176 , 178 , 179 , 183 , 191 , 193 , 199–201 , 204 , 206 , 213 , 217 , 218 , 223 , 227 , 228 , 230 , 234 , 236 , 237 , 239 , 240 , 244–251 , …”

Section: Resultsmentioning

confidence: 99%

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Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

et al. 2020

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Background Fecal incontinence is a disabling condition affecting up to 20% of women. Objective We investigated fecal incontinence assessment in both inflammatory bowel disease and non-inflammatory bowel disease patients to propose a diagnostic approach for inflammatory bowel disease trials. Methods We searched on Pubmed, Embase and Cochrane Library for all studies on adult inflammatory bowel disease and non-inflammatory bowel disease patients reporting data on fecal incontinence assessment from January 2009 to December 2019. Results In total, 328 studies were included; 306 studies enrolled non-inflammatory bowel disease patients and 22 studies enrolled inflammatory bowel disease patients. In non-inflammatory bowel disease trials the most used tools were the Wexner score, fecal incontinence quality of life questionnaire, Vaizey score and fecal incontinence severity index (in 187, 91, 62 and 33 studies). Anal manometry was adopted in 41.2% and endoanal ultrasonography in 34.0% of the studies. In 142 studies (46.4%) fecal incontinence evaluation was performed with a single instrument, while in 64 (20.9%) and 100 (32.7%) studies two or more instruments were used. In inflammatory bowel disease studies the Wexner score, Vaizey score and inflammatory bowel disease quality of life questionnaire were the most commonly adopted tools (in five (22.7%), five (22.7%) and four (18.2%) studies). Anal manometry and endoanal ultrasonography were performed in 45.4% and 18.2% of the studies. Conclusion Based on prior validation and experience, we propose to use the Wexner score as the first step for fecal incontinence assessment in inflammatory bowel disease trials. Anal manometry and/or endoanal ultrasonography should be taken into account in the case of positive questionnaires.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

et al. 2020

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“…79 For example, in a retrospective study of 237 patients treated for FI with SNM, the 128 patients who had a sphincter injury on endoanal ultrasound demonstrated similar responses to SNM compared to the 109 patients with an intact sphincter. 159 Another retrospective study evaluating the impact of a sphincter injury on the success of SNM compared 54 patients with ultrasound-confirmed external sphincter muscle defect (mean defect size = 105 degrees) to 91 patients without a sphincter defect. In this study, patients with an external sphincter defect improved from a baseline median Cleveland Clinic Florida Fecal Incontinence Score (CCF-FIS) score of 15 to 2.5 at 12-month follow-up, which was comparable to the patients without a sphincter defect who improved from a baseline median CCF-FIS score of 14 to 3 at 12 months.…”

Section: Repeat Anal Sphincter Reconstruction After a Failed Overlapp...mentioning

confidence: 99%

The American Society of Colon and Rectal Surgeons’ Clinical Practice Guidelines for the Management of Fecal Incontinence

Bordeianou

Thorsen

Keller

et al. 2023

Diseases of the Colon &Amp; Rectum

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“…Por comparar con una cohorte algo más moderna, tenemos el trabajo de Kirss et al (62), de 2018. Es un estudio multicéntrico finlandés en el que analizan los resultados de sus pacientes sometidos a ERS por incontinencia fecal con algún tipo de lesión esfinteriana, independientemente de que hayan tenido algún tipo de reparación previa.…”

Section: Complicacionesunclassified

Estado actual de la estimulación de raíces sacras en el tratamiento de la incontinencia fecal

García

2019

Arch. coloproctol.

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La incontinencia fecal es una patología que abarca un amplio espectro clínico y por la que no se suele buscar asistencia médica. A pesar de ello, supone un golpe muy importante a la salud, tanto física como psicológica de los pacientes, incluso limitándoles de forma muy marcada en su vida diaria. La estimulación de raíces sacras es una técnica más o menos sencilla que ha obtenido buenos resultados en el tratamiento de pacientes con incontinencia fecal. Su popularidad ha ido creciendo con los años al haber cosechado esos buenos resultados en pacientes muy dispares. Sin embargo, esta técnica no se ha extendido más allá de centros superespecializados en cirugía del suelo pélvico. El objetivo de esta revisión es, en base a los últimos trabajos publicados, conocer mejor cómo funciona esta técnica, cómo se aplica y en que situaciones, sus resultados tanto a corto como a largo plazo y sus complicaciones. Además, nos detendremos un poco más en dos situaciones especiales como son los pacientes con una lesión de los esfínteres anales y los aquejados por el síndrome de resección anterior baja, para ver cómo influyen estas condiciones en los resultados de esta técnica.

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Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for faecal incontinence: results from a Finnish national cohort study

Abstract: Results of our study indicate that a sphincter lesion or previous sphincter repair has no significant effect on the outcome of SNM treatment. Our data suggests that delayed sphincter repair prior to SNM treatment initiation for FI is not necessary.

Cited by 10 publications

References 31 publications

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

The American Society of Colon and Rectal Surgeons’ Clinical Practice Guidelines for the Management of Fecal Incontinence

Estado actual de la estimulación de raíces sacras en el tratamiento de la incontinencia fecal

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