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Sacral nerve stimulation for faecal incontinence in the UK
M E D Jarrett1, J S Varma, G S Duthie
1Department of Physiology, St Mark's Hospital, Watford Road, Harrow HA1 3UJ, UK.
The British Journal of Surgery
|May 28, 2004
Summary
Sacral nerve stimulation (SNS) effectively treats faecal incontinence. This study shows SNS improves continence and quality of life in multiple UK centres, demonstrating its broad applicability for patients unresponsive to conservative therapies.
Area of Science:
- Gastroenterology
- Urology
- Neurology
Background:
- Sacral nerve stimulation (SNS) is recognized as an effective therapy for faecal incontinence.
- Existing research predominantly stems from single-center studies, highlighting a need to assess the procedure's wider applicability.
Purpose of the Study:
- To evaluate the effectiveness and safety of sacral nerve stimulation (SNS) for faecal incontinence across multiple centers in the UK.
- To determine the broader applicability of SNS in a real-world setting.
Main Methods:
- Prospective data collection from all patients undergoing SNS in three UK centers.
- Review of patient records to assess treatment outcomes, including continence episodes, urgency, and quality of life measures.
Main Results:
- Of 46 patients implanted with SNS devices, 78% experienced improved continence at a median of 12 months.
- Significant reductions in weekly incontinence episodes (median 7.5 to 1) and improved ability to defer defecation were observed (P < 0.001).
- Patients reported significant improvements in general health, mental health, social function, and vitality (SF-36 subscales).
Conclusions:
- Sacral nerve stimulation (SNS) is a safe and effective medium- to long-term treatment for faecal incontinence.
- SNS offers significant benefits for patients with faecal incontinence refractory to conservative management.
- The procedure demonstrates broad applicability and positive impacts on quality of life.