Sacral Nerve Stimulation for Fecal Incontinence Following Surgery for Rectal Prolapse Repair: A Multicenter Study

Abstract

Sacral nerve stimulation should be considered for patients with ongoing fecal incontinence following full-thickness rectal prolapse repair if they prove resistant to conservative treatment.

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

“…11 Similar to their observation, we were able to show improvement of residual or new fecal incontinence in 9 of 11 patients in 2 centers, thus showing a positive effect of this method. The mechanism leading to improvement of fecal incontinence in these patients might be similar to those previously described in patients treated for neurogenic or so-called idiopathic incontinence.…”

“…P values less than 0.01 were regarded as statistically significant. Of 11 patients tested by SNM, 9 reported in their continence diaries that their fecal incontinence problem had improved during the screening period. Two patients who had been previously treated by abdominal rectopexy did not report any improvement of their symptoms and did DISEASES OF THE COLON & RECTUM VOLUME 53: 4 (2010) not proceed to permanent implant.…”

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.…”

A Different Option for Neuromodulation Procedures: Sacral Nerve Stimulation

“…The efficacy of sacral neuromodulation in partial sphincter injury has also been demonstrated (35)(36)(37). In patients with scleroderma having proctitis caused by radiation and reduced rectal compliance owing to inflammatory bowel syndrome and in patients with anterior resection or previous rectal prolapse colectomy, the efficacy of sacral neuromodulation is demonstrated only in few studies (38)(39)(40)(41)(42)(43).…”