Sacral neuromodulation in patients with congenital faecal incontinence. Special issues and review of the literature

Background The aim of the present study was to evaluate the effectiveness of sacral neuromodulation (SNM) as a treatment for congenital faecal incontinence (FI). Methods A retrospective study was conducted on patients with congenital FI who had SNM surgery at our institution between October 2005 and...

Full description

Saved in:
Bibliographic Details
Published in:Techniques in coloproctology 2018-02, Vol.22 (2), p.89-95
Main Authors: Lagares-Tena, L., Millán-Paredes, L., Lázaro-García, L., Navarro-Luna, A., Delgado-Rivilla, S., Muñoz-Duyos, A.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Colorectal Surgery
Electric stimulation therapy
Fecal incontinence
Gastroenterology
Medicine
Medicine & Public Health
Original Article
Proctology
Surgery
Transplants & implants
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The aim of the present study was to evaluate the effectiveness of sacral neuromodulation (SNM) as a treatment for congenital faecal incontinence (FI). Methods A retrospective study was conducted on patients with congenital FI who had SNM surgery at our institution between October 2005 and June 2013. An initial percutaneous nerve evaluation was performed, and patients with an improvement of more than 50% in their symptoms had permanently implants for SNM treatment. Results There were 4 patients who received a permanent implant. Mean duration of follow-up was 67.5 months (range 45–135 months). At last follow-up, 2 patients maintained significant improvement with SNM, 1 was explanted after 4 years of treatment due to infection but remained asymptomatic and SNM failed in the remaining patient who went on to graciloplasty. Conclusions SNM may be of value for treating FI in patients with anorectal malformations.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-017-1742-5