Sacral nerve stimulation for faecal incontinence following a rectosigmoid resection for colorectal cancer

Abstract

This study demonstrates that SNS may be effective in the treatment of patients with faecal incontinence following recto-sigmoid resection if conservative treatment has failed.

Sacral Nerve Stimulation in Patients After Rectal Resection—Preliminary Report

“…Therefore, the role of SNS in the treatment of fecal incontinence following rectal resection needs further research as well as more clinical data by a larger number of patients. 8,[14][15] …”

“…[9][10][11][12][13] More recently, case reports have been published showing a positive effect of this treatment in patients suffering from fecal incontinence after low anterior rectal resection. 8,14,15 The purpose of this paper was to perform a nationwide survey for this selected indication for SNS in order to gain more information by recruiting a larger number of patients.…”

Six Years of Experience With Sacral Nerve Stimulation for Fecal Incontinence

“…Today, a broad spectrum of patients has been successfully treated by the pragmatic trial-and-error approach. The effect of SNS has been investigated in groups of patients presenting with a distinct condition or well-defined anorectal physiological finding, such as irritable bowel syndrome, 27 a defect of the EAS, 18 previous rectal surgery, 28,29 spinal cord injury, 30,31 and muscular dystrophy. 32 There have been several hypotheses presented concerning the mode of action of SNS, but the mechanism is still unclear.…”

Temporary Sacral Nerve Stimulation for Treatment of Irritable Bowel Syndrome: A Pilot Study

“…2 Sacral nerve stimulation (SNS) is a well-established treatment, since 1995, for patients with fecal incontinence. 5,6 Treatment with SNS was primarily restricted to patients with an intact external sphincter; however, indications for SNS have gradually developed to include patients with partial spinal cord injury, 7 scleroderma, 8 rectal prolapse repair, 9 low anterior resection, 10,11 and constipation. 12 The mechanism of action of SNS is still unclear, but recent studies show that the motility during stimulation is modulated throughout the colon.…”