Sacral neuromodulation for bowel dysfunction: a consensus statement from the Italian group

Area of Science:

• Gastroenterology and Urology
• Neuromodulation Therapies
• Clinical Practice Guidelines

Background:

• Italian centers experienced in sacral neuromodulation (SNM) convened to standardize clinical practice for bowel dysfunction.
• The goal was to develop a consensus statement on SNM indications and patient management strategies.

Purpose of the Study:

• To define current clinical practice for SNM in Italy.
• To produce a consensus statement on SNM indications and patient management.
• To establish national guidelines for SNM in bowel dysfunction.

Main Methods:

• A questionnaire on SNM clinical practice was distributed to 50 Italian colonproctologists.
• Expert opinions were gathered using a 5-point Likert scale, with data weighted by experience.
• A follow-up meeting and literature review were conducted to reach agreement on critical aspects.

Main Results:

• The study reviewed patient selection, diagnostics, implantation, follow-up, and result evaluation for SNM.
• An algorithm for patient management in bowel dysfunction was developed.
• Strategies for managing treatment failure were discussed.

Conclusions:

• Substantial national consensus was achieved on key aspects of SNM therapy for bowel dysfunction.
• The recommendations serve as national guidelines.
• These guidelines are relevant for international SNM implantation centers.