Treatment of slow‐transit constipation with sacral nerve modulation

Abstract

Sacral nerve modulation seems to be a useful option for STC.

The impact of transcutaneous electrical stimulation therapy on appendicostomy operation rates for children with chronic constipation—a single-institution experience

“…Electrical stimulation therapy is a promising new treatment for chronic constipation, both in adults and children [16][17][18][19][20][60][61][62][63][64]. It can be delivered via the direct route (invasive) with electrode implantation in the form of sacral nerve stimulation (SNS) or the indirect route (noninvasive) with pad electrode placement on the skin surface over the abdomen and the paraspinal region [16,19,20].…”

Sacral nerve modulation in the treatment of chronic pelvic pain

“…SNM test stimulation and implant were performed in the two-stage technique as proposed by Spinelli et al [9] and as previously described [10,11].…”

Searching for a definition for pharmacologically refractory constipation: A systematic review

“…One study did not specify the duration of constipation . Constipation was described as severe in three studies, refractory in six, and intractable in three studies …”

“…All studies described a failure of medical therapy such as laxatives, dietary modification, or biofeedback . Only two studies required patients to have failed a 4‐week run‐in period of medical therapy such as fiber, laxatives, enemas, and suppositories.…”

“…Seven studies evaluated non‐medical, non‐surgical therapies, three of which evaluated only patients with slow transit constipation using abnormal colonic transit test, excluding pelvic floor dysfunction using anorectal manometry and defecography . A study on spinal magnetic stimulation included patients with slow transit constipation, pelvic floor dysfunction, or both, assessed with colonic transit time and defecography .…”