Back to Search
Start Over
Sacral nerve stimulation for fecal incontinence: long-term outcomes.
- Source :
-
Diseases of the colon and rectum [Dis Colon Rectum] 2011 Aug; Vol. 54 (8), pp. 969-74. - Publication Year :
- 2011
-
Abstract
- Background: Numerous studies advocate the short-term benefits of sacral nerve stimulation for fecal incontinence, but there has been a paucity of studies on longer-term outcomes.<br />Objective: The objective of this study was to report the long-term outcome of sacral nerve stimulation performed for fecal incontinence at a single institution.<br />Patients and Design: Between January 2004 and May 2007, 53 patients underwent definitive sacral nerve stimulation for fecal incontinence at our institution. Prospectively recorded baseline information, including Wexner incontinence scores and standard short-form (SF-12) health survey scores, were compared with scores at follow-up.<br />Results: Forty-one patients were available for long-term follow-up with a mean duration of 51 months. The median Wexner score decreased from a baseline of 11.5 (range, 3.0-18.0) to 8.0 (range, 0.0-18.0) at follow-up. The mean difference in Wexner score was 2.7 (P < .001). There was no statistically significant change in SF-12 physical scores, but a small but highly significant change occurred in SF-12 mental scores. The median SF-12 mental domain score was 49.5 (range, 15.0-62.1) at baseline, and 57.0 (range, 20.0-64.0) at follow-up, with a mean difference of 4.5 (P = .006). Subgroup analysis performed comparing patients with or without prior intersphincteric silicon biomaterial implants demonstrated a mean difference in Wexner score of -3.5 (no implant) vs 0.0 (previous implant), with P < .09 (not statistically significant).<br />Conclusions: Sacral nerve stimulation results in a statistically significant improvement in fecal incontinence scores in the long term.
- Subjects :
- Anal Canal innervation
Anal Canal physiopathology
Electric Stimulation Therapy adverse effects
Electrodes, Implanted
Equipment Failure
Female
Humans
Male
Middle Aged
Quality of Life
Severity of Illness Index
Time Factors
Treatment Outcome
Electric Stimulation Therapy methods
Fecal Incontinence therapy
Lumbosacral Plexus physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1530-0358
- Volume :
- 54
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Diseases of the colon and rectum
- Publication Type :
- Academic Journal
- Accession number :
- 21730785
- Full Text :
- https://doi.org/10.1097/DCR.0b013e31821e57c2