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Related Experiment Videos

Sacral nerve stimulation for faecal incontinence.

Stephen H Pillinger1, Angela Gardiner, Graeme S Duthie

  • 1University of Hull, Academic Surgical Unit, Castle Hill Hospital, Cottingham, UK.

Digestive Surgery
|March 12, 2005
PubMed
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Sacral nerve stimulation (SNS) offers a minimally invasive treatment for faecal incontinence when conservative methods fail. This neuromodulation technique shows superior results compared to other interventions, with low procedural risks.

Area of Science:

  • Gastroenterology and Urology
  • Neuromodulation
  • Pelvic Floor Disorders

Background:

  • Faecal incontinence is a prevalent condition impacting quality of life.
  • Traditional surgical interventions for refractory faecal incontinence often yield disappointing outcomes.
  • Conservative management is effective for many but not all patients.

Purpose of the Study:

  • To evaluate sacral nerve stimulation (SNS) as a minimally invasive treatment for faecal incontinence.
  • To assess the efficacy and safety of SNS following failed conservative therapies.
  • To explore the role of SNS as a potential first-line treatment option.

Main Methods:

  • Sacral nerve stimulation (SNS) involves chronic low-level electrical stimulation of sacral nerves.

Related Experiment Videos

  • A two-stage procedure includes diagnostic percutaneous nerve evaluation (PNE) followed by permanent SNS.
  • Neuromodulation targets the distal colon, rectum, pelvic floor, and anal sphincter complex.

    • Main Results:

    • SNS is a minimally invasive technique adapted from its use in urinary dysfunction.
    • Percutaneous nerve evaluation (PNE) demonstrates high predictive value for successful treatment.
    • Both PNE and permanent SNS procedures exhibit extremely low surgical trauma and morbidity.

    Conclusions:

    • Sacral nerve stimulation (SNS) presents an effective alternative for patients with faecal incontinence unresponsive to conservative measures.
    • Despite challenges in generating Level 1 evidence, SNS results appear superior to existing interventions.
    • Evidence supports considering SNS as a first-line treatment for selected faecal incontinence patients.