Abstract:Oncologic resection of rectal cancer has been reported to be associated with a significant rate of fecal incontinence (FI). The risk is greater in patients with a resection less than 6-8 cm from the anal verge [1]. Sacral nerve stimulation (SNS) has been advocated as a safe and effective therapy for severe FI and shown to be associated with minimal morbidity [2]. In patients with FI after anterior resection (AR), SNS is has been used in few cases, with varying results [1,3].Between 2006 and 2009, four patients… Show more
“…This improvement is of paramount importance for patients' QoL and is reflected in the improved LARS scores after SNS treatment. The initial treatment response in our study is in line with previous studies . Eighty‐three per cent (10/12) of our patients qualified for permanent implant.…”
Section: Discussionsupporting
confidence: 90%
“…By utilizing a validated LARS scoring instrument, our study indicates that SNS may be a viable treatment option for these patients. We found improvements not only in FI symptoms, as reported previously , but also in other LARS related symptoms such as clustering and urgency. This improvement is of paramount importance for patients' QoL and is reflected in the improved LARS scores after SNS treatment.…”
“…This improvement is of paramount importance for patients' QoL and is reflected in the improved LARS scores after SNS treatment. The initial treatment response in our study is in line with previous studies . Eighty‐three per cent (10/12) of our patients qualified for permanent implant.…”
Section: Discussionsupporting
confidence: 90%
“…By utilizing a validated LARS scoring instrument, our study indicates that SNS may be a viable treatment option for these patients. We found improvements not only in FI symptoms, as reported previously , but also in other LARS related symptoms such as clustering and urgency. This improvement is of paramount importance for patients' QoL and is reflected in the improved LARS scores after SNS treatment.…”
“…A letter from Moya et al . reported the outcome of test stimulation in four patients who had undergone neoadjuvant chemoradiotherapy and anterior resection for rectal cancer. All suffered from severe postoperative faecal incontinence, despite at least 2 years of conservative treatment.…”
“…In the literature, the experience with sacral neuromodulation in patients with fecal incontinence related to the anterior resection syndrome is still limited [53][54][55][56][57]. However, this minimally invasive therapeutic option been considered as the first choice in surgical treatment when conservative therapies fail [54][55][56].…”
Section: Treatment Of Fecal Incontinencementioning
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