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Does sacral nerve stimulation improve global pelvic function in women?

A M Jadav1, H Wadhawan, G L Jones

  • 1Northern General Hospital, Sheffield, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|March 5, 2013
PubMed
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This summary is machine-generated.

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Sacral neuromodulation significantly improved pelvic floor dysfunction in women with faecal incontinence, enhancing bowel, urinary, vaginal, and sexual health. This treatment offers a global improvement in quality of life for affected individuals.

Area of Science:

  • Urogynecology
  • Pelvic Floor Dysfunction
  • Neuromodulation

Background:

  • Many women with faecal incontinence experience coexisting pelvic floor dysfunction.
  • Sacral neuromodulation is a treatment option for faecal incontinence.
  • The impact on non-bowel symptoms is not fully understood.

Purpose of the Study:

  • To evaluate the effect of sacral neuromodulation on non-bowel related symptomatology in women with faecal incontinence.
  • To assess global pelvic floor function using a validated questionnaire.
  • To investigate improvements in urinary, vaginal, and sexual health.

Main Methods:

  • Utilized the electronic Personnel Assessment Questionnaire - Pelvic Floor (ePAQ-PF), a web-based tool.
  • Assessed women undergoing sacral neuromodulation for faecal incontinence.
Keywords:
Faecal incontinencepelvic floorquestionnairesacral nerve stimulation

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  • Analyzed pre- and post-stimulator data over a 4.5-year period.
  • Main Results:

    • Significant improvements were observed in faecal incontinence and bowel-related quality of life.
    • Urinary symptoms, vaginal symptoms, and sexual dysfunction showed marked improvement.
    • Vaginal prolapse symptoms and overactive bladder symptoms significantly improved.
    • Global health, bowel evacuation, vaginal pain, and sexual health experienced notable enhancements.

    Conclusions:

    • Sacral neuromodulation effectively improves global pelvic floor function in women with faecal incontinence.
    • The treatment positively impacts bowel, urinary, vaginal, and sexual dimensions.
    • A web-based questionnaire demonstrated comprehensive benefits beyond bowel symptom relief.