Long-term Efficacy and Safety of Sacral Nerve Stimulation for Fecal Incontinence

Mellgren, Anders; Wexner, Steven D.; Coller, John A.; Devroede, Ghislain; Lerew, Darin R.; Madoff, Robert D.; Hull, Tracy L.

doi:10.1097/dcr.0b013e31822155e9

Cited by 176 publications

(114 citation statements)

References 40 publications

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“…According to the systematic review of the clinical effectiveness of neuromodulation in the treatment of faecal incontinence, published by Thin et al, the initial success rate of sacral neuromodulation was found to be 63 %, with a long-term success rate of 54 % [2]. According to literature, sacral neuromodulation shows good long-term results for patients with idiopathic faecal incontinence [19,20]. However, not much is known about the effects of sacral neuromodulation in patients with previous anorectal surgery.…”

Section: Discussionmentioning

confidence: 99%

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

et al. 2015

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SummaryTwo female patients with faecal incontinence resistant to conservative treatment but improved after percutaneous tibial nerve neuromodulation were treated with sacral nerve neuromodulation in 2014. Quality of Life questionnaires were used in order to determine the impact of faecal incontinence on everyday life before and after the implantation of the stimulator. To evaluate the functional state, Wexner's questionnaires were applied. Bowel movement diary was used to detect the improvement of faecal continence before and after temporary and permanent neuromodulation. The data were analyzed using a Statistical Package for Social Sciences program (SPSS, version 22.0). All values were given as mean ± SD. P-values less than 0.05 were accepted to indicate statistical significance. Both patients had a reduction in episodes of incontinence and soiling during a 3 week temporary nerve stimulation period as well as during 3 week followup after permanent stimulator implantation. Statistically significant elevation of faecal urgency frequency (p=0.031) was observed during temporary nerve stimulation. Reduction of episodes of faecal incontinence (p=0.001) and soiling (p=0.000) was observed after permanent stimulator implantation. Both patients presented an improvement in lifestyle, coping, depression and embarrassment as well as an improvement in functional state 3 weeks after the beginning of sacral nerve stimulation. Conclusions: The first results of sacral neuromodulation in patients with faecal incontinence are excellent and very promising.

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Section: Discussionmentioning

confidence: 99%

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

et al. 2015

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“…The CCF-FI median of the group at pre-operative assessment was 12 (9)(10)(11)(12)(13)(14) The CCF-FI median at pre-operative assessment was 14.1 (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Resultsmentioning

confidence: 99%

“…During the first month after the definitive implant, another patient (group A1) left the study as the result of infection of the stimulator and the subsequent need to completely remove the implant (1 out of 14 [7…”

Section: Resultsmentioning

confidence: 99%

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Sacral nerve stimulation in the treatment of fecal incontinence – the experience of a pelvic floor center: Short-term results

Iachetta¹,

Cola²,

Villani³

2012

jig

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“…A US-based, randomized controlled trial with a 3-year follow-up demonstrated improvement of symptoms in 86% of the 133 enrolled patients. 40 Additional research is being conducted to determine predictors of long-term success in order to improve patient selection for this therapy. Complications of sacral nerve stimulation include pain, infection, seroma formation, bleeding, and scarring.…”

Section: Review Articlementioning

confidence: 99%

Current Management of Fecal Incontinence

Wang

Abbas

2013

TPJ

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Long-term Efficacy and Safety of Sacral Nerve Stimulation for Fecal Incontinence

Abstract: Sacral nerve stimulation using InterStim Therapy is a safe and effective treatment for patients with fecal incontinence. These data support long-term safety and effectiveness to 36 months.

Cited by 176 publications

References 40 publications

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

Sacral nerve stimulation in the treatment of fecal incontinence – the experience of a pelvic floor center: Short-term results

Current Management of Fecal Incontinence

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