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Outcomes of Sacral Nerve Stimulation For Faecal Incontinence in Northern Ireland
G W Irwin1, B V Dasari1, R Irwin1
1Department of Colorectal Surgery, Belfast Health and Social Care Trust, Belfast City Hospital, 51 Lisburn Road, Belfast, BT9 7AB, UK.
The Ulster Medical Journal
|March 17, 2017
Summary
Sacral nerve stimulation (SNS) significantly improves fecal incontinence scores and quality of life. This therapy offers a safe and effective treatment option for patients suffering from debilitating fecal incontinence.
Area of Science:
- Medical technology
- Gastroenterology
- Urology
Background:
- Fecal incontinence is a debilitating condition impacting social and personal well-being.
- Sacral nerve stimulation (SNS) is an emerging therapeutic option for managing fecal incontinence.
Purpose of the Study:
- To evaluate the morbidity associated with sacral nerve stimulation procedures.
- To assess improvements in fecal incontinence severity and quality of life following SNS.
- To analyze the efficacy of temporary and permanent sacral nerve stimulation placements.
Main Methods:
- Retrospective review of 75 patients undergoing sacral nerve stimulation from 2006-2012.
- Pre and postoperative assessment using Cleveland Clinic Incontinence Score (CCIS) and SF-36.
- Statistical analysis via Wilcoxon signed rank test to determine significance.
Main Results:
- 40 out of 61 patients proceeded to permanent sacral nerve stimulation.
- Significant reduction in fecal incontinence scores (CCIS: 14 to 9, p=0.008).
- Marked improvements in multiple quality of life domains (SF-36), excluding bodily pain and physical function.
Conclusions:
- Permanent sacral nerve stimulation demonstrates effectiveness in treating fecal incontinence.
- The procedure leads to significant improvements in incontinence severity and patient quality of life.
- SNS is a viable and beneficial treatment for individuals with fecal incontinence.