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Sacral nerve stimulation for neurogenic faecal incontinence.
1Department of Surgery, Danube Hospital, Sozialmedizinisches Zentrum Ost, Vienna, Austria.
The British Journal of Surgery
|April 6, 2007
Summary
Sacral nerve stimulation (SNS) significantly improved continence in patients with neurogenic faecal incontinence. This treatment offers a valuable option for managing this challenging condition.
Area of Science:
- Neuroscience
- Gastroenterology
- Urology
Background:
- Faecal incontinence presents a significant challenge, particularly in patients with neurological conditions.
- Sacral nerve stimulation (SNS) is an emerging therapeutic option for faecal incontinence.
Purpose of the Study:
- To evaluate the efficacy and outcomes of sacral nerve stimulation (SNS) in patients experiencing faecal incontinence due to neurological causes.
Main Methods:
- A cohort of 36 patients underwent a trial of SNS, with 29 proceeding to permanent implantation.
- Outcomes were assessed using continence diaries, anal manometry, saline retention tests, and quality of life surveys.
Main Results:
- A median follow-up of 35 months revealed that 28 patients experienced significant improvement or complete recovery of continence.
- Episodes of incontinence decreased, saline retention time increased, and anal canal pressures improved.
- Patients with permanent implants reported enhanced quality of life at 12 and 24 months post-implantation.
Conclusions:
- Sacral nerve stimulation (SNS) demonstrates significant value as a treatment for neurogenic faecal incontinence in carefully selected patients.
