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Sacral nerve stimulation for faecal incontinence.

J M O'Riordan¹, C F Healy, D McLoughlin

¹Department of Surgery, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland.

Irish Journal of Medical Science

|April 9, 2008

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Sacral nerve stimulation (SNS) significantly improves fecal incontinence and quality of life in women with obstetric injuries. This treatment offers a viable alternative to colostomy for many patients.

Area of Science:

Urology
Gastroenterology
Neurology

Background:

Faecal incontinence from obstetric injury is a disabling condition impacting quality of life.
Sacral nerve stimulation (SNS) is an emerging treatment for improved continence.

Purpose of the Study:

To evaluate the initial experience and outcomes of sacral nerve stimulation (SNS) in patients with faecal incontinence.

Main Methods:

A review of 14 patients with faecal incontinence undergoing SNS from January 2006 to June 2007.
Data collected included demographics, medical/obstetric history, manometry, ultrasound, and nerve studies.
Pre- and post-operative Wexner Continence Score and Quality of Life Indices (Rockwood, SF-36) were assessed.

Main Results:

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Thirteen of 14 patients had incontinence related to obstetric injuries.
Ten patients showed significant improvement with temporary SNS and proceeded to permanent implantation.
Permanent SNS resulted in significant improvements in continence (P < 0.001) and quality of life (P < 0.01).

Conclusions:

Sacral nerve stimulation (SNS) provides significant improvement in continence and quality of life.
SNS is a valuable treatment option for faecal incontinence, potentially avoiding the need for a permanent colostomy.