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Future indications for sacral nerve stimulation.

T C Dudding1

  • 1Basingstoke and North Hampshire Hospital, Basingstoke, UK. tdudding@nhs.net

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|February 3, 2011
PubMed
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Sacral nerve stimulation (SNS) shows potential for treating various pelvic floor disorders, including incontinence and constipation. However, more high-quality research is needed to confirm its effectiveness for many conditions.

Area of Science:

  • Neurology
  • Gastroenterology
  • Urology
  • Pelvic Floor Disorders

Background:

  • Sacral nerve stimulation (SNS) is a neuromodulation technique.
  • It has been explored for a range of functional pelvic floor disorders.

Purpose of the Study:

  • To evaluate the efficacy of sacral nerve stimulation (SNS).
  • To assess SNS for faecal incontinence, constipation, irritable bowel syndrome, mixed urinary and bowel disorders, spinal injury, neurodegenerative disease, pain syndromes, and sexual dysfunction.

Main Methods:

  • A comprehensive Medline search was conducted.
  • Keywords included 'sacral nerve stimulation', 'neuromodulation', 'faecal incontinence', and 'constipation'.
  • Relevant articles and conference proceedings were cross-referenced and appraised.

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Main Results:

  • SNS has been applied to treat urinary, bowel, and sexual dysfunctions.
  • It is also used for pain associated with these disorders and dysfunction from nerve injury or degenerative diseases.
  • Currently, high-quality evidence supporting SNS for many novel indications is limited.

Conclusions:

  • High-quality prospective, cross-over studies are necessary to establish the true benefits of SNS.
  • Further research on patient selection, surgical techniques, and stimulation parameters is crucial.
  • Optimizing these factors will solidify SNS's role in treating functional pelvic floor disorders.