Sacral nerve stimulation for the treatment of faecal incontinence following low anterior resection for rectal cancer

Miguel, Mario; Oteiza, Fabiola; Ciga, M. A.; Armendáriz, P.; Marzo, José Fernando Cariñena; Ortiz, Héctor

doi:10.1111/j.1463-1318.2009.02066.x

Cited by 62 publications

(84 citation statements)

References 29 publications

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“…Nine of 15 studies had a mean or median follow‐up period of at least 12 months [19,21–23,26–28,30,31]. Mean follow‐up after PFR ranged from 3 to 12 months (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…After 12 or more months of SNS, improvement could be demonstrated in most patients. Both the faecal incontinence score and frequency decreased (Table 3) [19,26,27]. In the study of Jarrett et al.…”

Section: Outcomementioning

confidence: 99%

“…[28] showed an increase in postponement of bowel movement from 0–5 to 5–15 min in two patients, the sensation of urgency seemed to be unaffected after SNS [19]. Three studies reported an improvement in squeeze and resting pressure at follow‐up (Table 4) [19,26,27], but the effect of SNS on initial sensation, maximum tolerable volume and rectal compliance was unclear.…”

Section: Outcomementioning

confidence: 99%

See 2 more Smart Citations

Treatment options to improve anorectal function following rectal resection: a systematic review

Maris

Devreese

D’Hoore³

et al. 2013

Colorectal Disease

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“…Nine of 15 studies had a mean or median follow‐up period of at least 12 months [19,21–23,26–28,30,31]. Mean follow‐up after PFR ranged from 3 to 12 months (Table 2).…”

Section: Resultsmentioning

confidence: 99%

Section: Outcomementioning

confidence: 99%

Section: Outcomementioning

confidence: 99%

See 1 more Smart Citation

Treatment options to improve anorectal function following rectal resection: a systematic review

Maris

Devreese

D’Hoore³

et al. 2013

Colorectal Disease

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show abstract

“…An APR is without a doubt a much greater mutilation than an LAR and also has a potentially major impact on body image 29. However, LAR has been associated with side effects that can drastically decrease overall postoperative QOL, including fecal incontinence, urgency and outlet dysfunction, as well as those complications typical of any anastomosis, such as strictures, and leaks 30-33…”

Section: Discussionmentioning

confidence: 99%

Abdominoperineal resection does not decrease quality of life in patients with low rectal cancer

Campos-Lobato

Alves-Ferreira

Lavery

et al. 2011

Clinics

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PURPOSE:Issues related to body image and a permanent stoma after abdominoperineal resection may decrease quality of life in rectal cancer patients. However, specific problems associated with a low anastomosis may similarly affect quality of life for patients undergoing low anterior resection. The aim of this study was to compare quality of life of low rectal cancer patients after undergoing abdominoperineal resection versus low anterior resection.METHODS:Demographics, tumor and treatment characteristics, and prospectively collected preoperative quality-of-life data for patients undergoing low anterior resection or abdominoperineal resection for low rectal cancer between 1995 and 2009 were compared. Quality of life collected at specific time intervals was compared for the two groups, adjusting for age, body mass index, use of chemoradiation, and 30 days postoperative complications. The short-form-36 questionnaire was used to determine quality of life.RESULTS:The query returned 153 patients (abdominoperineal resection = 68, low anterior resection = 85) with a median follow-up of 24 (3-64) mo. The after abdominoperineal resection group had a higher mean age (63 ± 12 vs. 54 ± 12, p < 0.001) and more American Society of Anesthesiologists classification 3/4 patients (65 percent vs. 43 percent, p = 0.03) than low anterior resection. Other demographics, tumor stage, use of chemoradiation, overall postoperative complication rates, and quality-of-life follow-up time were not statistically different in both groups. Patients undergoing abdominoperineal resection had a lower baseline short-form-36 mental component score than those undergoing low anterior resection. However, 6 mo after surgery this difference was no longer statistically significant and essentially disappeared at 36 mo after surgery.CONCLUSION:Patients undergoing abdominoperineal resection for low rectal cancer have a similar long-term quality of life as those undergoing low anterior resection. These findings can help clinicians to better counsel patients with low rectal cancer who are being considered for abdominoperineal resection.

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“…Thus, patients need to be informed about the possibility of late anal incontinence after operation. Potential treatment strategies, such as sacral nerve stimulation in selected cases, should be discussed with patients during the follow-up period [20]. Sexual function is difficult to assess because patients are not always willing to answer questions related to their sexual behavior.…”

Section: Discussionmentioning

confidence: 99%

Late pelvic function following rectal cancer resection – a case-control study

et al. 2011

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Background: There are still controversial data about the impact of rectal resection for malignancies on overall pelvic organ function and quality of life. Our aim was to investigate whether these parameters differ compared to the general population without bowel resection.Methods: One hundred eighteen patients (44%) operated for rectal cancer at a single institution between 1995 and 2005 completed a self-administering questionnaire including the International Index of Erectile Function, Female Sexual Function Index, Short Form-12 Health Survey, International Prostatic Symptom Score, International Consultation on Incontinence Questionnaire-Short Form, and Vaizey Incontinence Score.Healthy subjects with no bowel resection served as controls for each case and were matched by age (±5 years) and gender. The median follow-up time was 7 years (range 2.8-14.2).Results: The Vaizey incontinence score was significant higher in the patient group compared with the control group (patients: median 4 (range 0-24), controls: 0 (range 0-20); p < 0.0001). Sexual and urinary function showed no significant difference between both groups.In regard to the SF-12 health survey the median physical health score of patients was 51.5 (range 22.0-58.2) compared to 53.6 (range 16.8-64.3) of the control subjects (p ¼ 0.1241). The median mental health score of the patient group was 55.1 (range 19.1-63.8) compared to 55.0 (range 28.7-63.8) of the control group (p ¼ 0.2222).Conclusions: Patients with rectal cancer resection have a significant impairment of fecal continence. Notably, urinary and sexual function and quality of life are comparable with healthy subjects without colorectal resection.

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Sacral nerve stimulation for the treatment of faecal incontinence following low anterior resection for rectal cancer

Abstract: SNS is a treatment option for faecal incontinence after LAR for rectal cancer.

Cited by 62 publications

References 29 publications

Treatment options to improve anorectal function following rectal resection: a systematic review

Treatment options to improve anorectal function following rectal resection: a systematic review

Abdominoperineal resection does not decrease quality of life in patients with low rectal cancer

Late pelvic function following rectal cancer resection – a case-control study

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