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Sacral nerve stimulation for fecal incontinence.

Angela Skull1, Tracy L Hull

  • 1Colorectal Department, St Richard's Hospital, Spitalfield Land, Chichester, West Sussex, UK.

Expert Review of Medical Devices
|November 3, 2012
PubMed
Summary

Sacral nerve stimulation offers a new treatment for fecal incontinence (FI), improving quality of life. This minimally invasive, two-stage procedure has low risks and is effective for patients with limited options.

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Area of Science:

  • Urology
  • Gastroenterology
  • Neurology

Background:

  • Fecal incontinence (FI) significantly impacts patient quality of life.
  • Limited effective treatment options exist for many FI patients.
  • Sacral nerve stimulation (SNS), also known as sacral neuromodulation, is gaining acceptance for FI treatment.

Purpose of the Study:

  • To evaluate the effectiveness and safety of sacral nerve stimulation for fecal incontinence.
  • To highlight the two-stage implantation process of SNS for FI.
  • To assess the potential of SNS as a minimally invasive treatment for FI.

Main Methods:

  • A two-stage implantation procedure for sacral nerve stimulation.
  • Temporary lead placement in the S3 sacral foramen for initial assessment.
  • Permanent device implantation based on patient-reported improvement.

Main Results:

  • Sacral nerve stimulation has demonstrated effectiveness in treating fecal incontinence.
  • The procedure is associated with low morbidity rates.
  • Low infection risk has been reported in the literature for SNS.

Conclusions:

  • Sacral nerve stimulation is a viable and effective treatment option for fecal incontinence.
  • The two-stage approach allows for patient-guided assessment of efficacy.
  • SNS offers a safe alternative with low complication rates for refractory FI.

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