Sacral nerve stimulation in the treatment of severe faecal incontinence: long-term clinical, manometric and quality of life results

Abstract

Analysis of our long-term results confirms the safety and effectiveness of SNS in the management of patients with FI.

Long-term outcomes of sacral nerve stimulation for faecal incontinence

“…Excluding patients with immediate lack of efficacy, early rates of successful permanent implantation in the present series (PP, 87·1 per cent; ITT, 58·2 per cent) were slightly below most reported values. The reasons for this are unclear.…”

Systematic Review of Surgical Treatments for Fecal Incontinence

“…the frequency of surgical complications (tables 3 and 4 and appendix table 5) ranged from 0% to 32% in radiofrequency anal sphincter remodeling, [48][49][50][51][52][53] 21% to 74% in aCe, 54-57 5% to 27% with sphincteroplasty, 13,37,42-45,58-66 2% to 93% with sns, 13,29,30,36,41,47,[67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85] 8% to 64% with other surgeries, 33,38,39,86 and 22% to 100% with sphincter replacement. 13,32,46,[87][88][89][90][91][92][93][94][95][96][97][98]…”

“…table 4 and appendix table 5), and 3% to 24%41,47,[67][68][69]71,72,[74][75][76][77][78][79][80][81]85 of patients had the device explanted. aCe, sphincter repair, and sphincter replacement had more severe complications (wound infection, stenosis, bowel obstruction, sepsis, and fistula; appendix table 5).…”

Surgical therapies for fecal incontinence

“…Multiple studies over the last year have reported long-term outcomes, demonstrating that the majority of patients treated with SNS experience lasting improvements in incontinence and QOL with minimal complications at mean follow ups ranging from 3-9 years [22][23][24]. Multiple studies over the last year have reported long-term outcomes, demonstrating that the majority of patients treated with SNS experience lasting improvements in incontinence and QOL with minimal complications at mean follow ups ranging from 3-9 years [22][23][24].…”