Sacral Nerve Stimulation for Fecal Incontinence: External Anal Sphincter Defect vs . Intact Anal Sphincter

Abstract

Sacral nerve stimulation for fecal incontinence is as effective in patients with external anal sphincter defects as those with intact sphincter and the result is similar for defect size up to 120 degrees of circumference.

Sacral Nerve Modulation in the Treatment of Fecal Incontinence Following Repair of Rectal Prolapse

“…After a median follow-up time of 36 (12-72) months, fecal incontinence scores dropped from a median of 15 (13)(14)(15)(16)(17)(18)(19)(20) preoperatively to a median of 5 (3)(4)(5)(6)(7) in all implanted patients (P Ͻ .01). Quality of life analysis for all implanted patients showed significant improvement in all 4 domains (lifestyle, coping behavior, depression, and embarrassment (P Ͻ .01)).…”

“…1 SNM has repeatedly been shown to be a successful treatment option for patients suffering from fecal incontinence of different indications. [5][6][7] Even on the basis of controlled randomized trials, this therapy has shown high efficacy and low morbidity, and can be regarded as an effective treatment for fecal incontinence.…”

Does Preoperative Anal Physiology Testing or Ultrasonography Predict Clinical Outcome With Sacral Neuromodulation for Fecal Incontinence?

“…Some studies support anal manometry and endoanal ultrasonography in guiding treatment options in patients with FI [19,20]. However, other studies suggest that findings on physiology testing do not consistently correlate with severity of FI or prediction of outcome [14,15].…”

Complicaciones durante la neuromodulación de raíces sacras en el tratamiento de la incontinencia fecal grave

“…Chan et al 19 , con un seguimiento de 12 meses, presentaron un 15% de complicaciones menores. Se ha visto que a mayor seguimiento, mayores son las complicaciones descritas.…”