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ORIGINAL CONTRIBUTION Sacral Nerve Neuromodulation Is Effective Treatment for Fecal Incontinence in the Presence of a Sphincter Defect, Pudendal Neuropathy, or Previous Sphincter Repair Richard Brouwer, M.B.B.S. Graeme Duthie, M.D. Academic Surgical Unit, University of Hull, Hull, United Kingdom PURPOSE: To assess the effectiveness of sacral nerve 1.50 baseline to 2.17–3.00 P .001–.013) after insertion neurostimulation in the setting of sphincter defects, at all time intervals up to 36 months. The Fecal previous sphincter repair, or pudendal neuropathy. Incontinence Quality of Life score was higher than the baseline at 48 months but only statistically significant for METHODS: A total of 55 patients underwent insertion of Lifestyle (median 3.10, P .04) and Coping/Behavior a sacral nerve neurostimulator for fecal incontinence. (median 2.63, P .03) scores. There were 6 device- There were 52 female and 3 male patients, with a mean related complications. age of 51 (range, 25–65) years and a median follow-up of 37 (range, 15–41) months. CONCLUSIONS: Sacral nerve neuromodulation results in a significant improvement in fecal incontinence and RESULTS: There was a significant improvement in the Fecal Incontinence Quality of Life scores after medium- median Cleveland Clinic continence score for all of the term
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Mar 1, 2010
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