Sacral nerve stimulation for faecal incontinence and constipation in adults

Thaha, Mohamed A.; Abukar, A. A.; Thin, Noel N.; Ramsanahie, Anthony; Knowles, Charles H.

doi:10.1002/14651858.cd004464.pub3

Cited by 137 publications

(112 citation statements)

References 92 publications

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“…Up-to-date uniform recommendations from other European countries are available in Italy and France [35][36][37], and an exchange of knowledge in this highly standardized procedure may be of great value. Evidence-based classifications of treatment options for fecal incontinence exist [2,[38][39][40] and will be updated shortly.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the data currently available -several retrospective studies, observational studies, as well as prospective studies -there is no doubt about its effectiveness [1]. Sacral nerve stimulation was also found to be effective by an analysis of the Cochrane Collaboration [2].…”

Section: Sacral Nerve Stimulation As a Therapy For Fecal Incontinencementioning

confidence: 99%

“…The data on implantation in patients with constipation is not as clear as in fecal incontinence. There are no long-term studies, and there is a reduction in the effectiveness during the course [2]. The board of experts agreed that SNS is appropriate for patients with refractory constipation (see comment on item 63).…”

Section: Obstipationmentioning

confidence: 99%

See 2 more Smart Citations

Sacral nerve stimulation as a therapy for fecal incontinence

Kahlke

Fürst

Leder³

et al. 2016

coloproctology

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Section: Discussionmentioning

confidence: 99%

Section: Sacral Nerve Stimulation As a Therapy For Fecal Incontinencementioning

confidence: 99%

See 1 more Smart Citation

Sacral nerve stimulation as a therapy for fecal incontinence

Kahlke

Fürst

Leder³

et al. 2016

coloproctology

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“…In a previous study on the outcome of sacral neuromodulation (SNM) for faecal incontinence following OASIS, 75% of the women reported concomitant urinary incontinence [7]. SNM is the preferred first line treatment for faecal incontinence after failure of conservative management [8] and has been suggested as a viable treatment option for double incontinence [9]. SNM has the potential to restore urinary and faecal continence by modification of nerve activity [10].…”

Section: Introductionmentioning

confidence: 99%

Sacral neuromodulation for combined faecal and urinary incontinence following obstetric anal sphincter injury

et al. 2018

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Aim The aim of this study was to investigate the efficacy of sacral neuromodulation (SNM) in the treatment of faecal incontinence and concomitant urinary incontinence in women with a history of obstetric anal sphincter injury (OASIS).Method In this prospective study, consecutive women with faecal incontinence following OASIS accepted for SNM were screened for concomitant urinary incontinence. The primary outcome was the change in urinary incontinence score on the International Consultation on Incontinence Questionnaire for Urinary Incontinence, Short Form (ICIQ-UI-SF), between baseline and 12 months. Secondary outcomes included the change in St Mark's score, sexual function and quality of life, change in grade of urinary incontinence and disappearance of urgency.Results From March 2012 to September 2014, 39 women with combined faecal incontinence and urinary incontinence received SNM. Thirty-seven women were available for analysis after 12 months. The mean reduction in the ICIQ-UI-SF score between the baseline and 12 months was 5.8 (95% CI 3.7-8.0, P < 0.001). ICIQ-UI-SF was reduced in 29 (78%) women, urinary incontinence resolved in 13/37 (35%, 95% CI 20%-50%) patients, and urgency disappeared in 14/33 (42%, 95% CI 26%-59%). The mean reduction in the St Mark's score was 10.6 (95% CI 8.6-12.7, P < 0.001). Disease-specific quality of life, Euroqual 5-dimension visual analogue scale (EQ-5D VAS) and several areas of sexual function changed significantly for the better.Conclusion More than three-quarters of the women with combined faecal and urinary incontinence following OASIS reported a successful outcome with reduction in ICIQ-UI-SF at 12 months after SNM.Keywords Faecal incontinence, urinary incontinence, pelvic floor disorders/dysfunction, obstetric anal sphincter injury, sacral neuromodulation What does this paper add to the literature? A high prevalence of concomitant urinary incontinence was found in a selected group of women with faecal incontinence following obstetric anal sphincter injury treated with sacral neuromodulation. Faecal incontinence and concomitant urinary incontinence were treated successfully in the majority of women.

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“…83 Two recent reviews confirmed the efficacy and safety, with positive results in the longterm. 84,85 SNM has also been successfully used in the treatment of constipation. Ten studies evaluated the results of SNM in patients with constipation.…”

Section: Expanding Indicationsmentioning

confidence: 99%

Evolution of neuromodulation for lower urinary tract dysfunction

Oerlemans¹

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Sacral nerve stimulation for faecal incontinence and constipation in adults

Cited by 137 publications

References 92 publications

Sacral nerve stimulation as a therapy for fecal incontinence

Sacral nerve stimulation as a therapy for fecal incontinence

Sacral neuromodulation for combined faecal and urinary incontinence following obstetric anal sphincter injury

Evolution of neuromodulation for lower urinary tract dysfunction

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