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Sacral nerve stimulation in faecal incontinence: position statement based on a collective experience
A M Leroi1, H Damon, J L Faucheron
1ADEN EA 3234/IFRMP 23, Faculté de Médecine de Rouen, France. anne-marie.leroi@chu-rouen.fr
Summary
This consensus provides updated guidance on sacral nerve stimulation (SNS) for fecal incontinence management. It harmonizes practices for clinicians using SNS, offering a patient management algorithm.
Area of Science:
- Gastroenterology
- Neurology
- Urology
Background:
- Sacral nerve stimulation (SNS) has evolved since its 1995 introduction for fecal incontinence.
- Current practices regarding indications, contraindications, and techniques require updated consensus.
Purpose of the Study:
- To establish a consensus opinion on managing patients with fecal incontinence using SNS.
- To provide a guide for clinical practitioners interested in SNS for fecal incontinence.
Main Methods:
- Critical review of existing literature on SNS for fecal incontinence.
- Incorporation of expert opinions for areas lacking sufficient evidence.
Main Results:
- A review of current indications and contraindications for SNS in fecal incontinence.
- Development of a patient management algorithm detailing the role of SNS.
- Discussion of temporary test techniques, implantation procedures, patient follow-up, and management of treatment failure.
Conclusions:
- The consensus aims to guide practitioners in managing fecal incontinence with SNS.
- Harmonization of clinical practices for SNS in fecal incontinence treatment is a key objective.
