Year 2011 / Volume 103 / Number 7
Original
Sacral nerve stimulation for fecal incontinence

pp. 355-359

Isabel Pascual, Carolina de Carlos González Gómez, Ricardo Ortega, Marta Jiménez Toscano, José Luis Marijuán, Manuel Lomas Espadas, José María Fernández Cebrián, Damián García Olmo y José Antonio Pascual Montero

Abstract
Objective: to analyze short-term outcomes and complications for our first fifty patients with fecal incontinence undergoing sacral root stimulation.

Patients: fifty patients with fecal incontinence receiving sacral neuromodulation in 4 hospitals are reviewed. Discussed variables include: age, sex, incontinence duration, incontinence cause, prior
surgery for incontinence, Wexner scale score, anorectal manometry parameters, and endoanal ultrasonographic findings. Following the
procedure Wexner scale score, anorectal manometry parameters, and associated complications are reviewed.

Results: mean age of patients is 59.9 years, with females predominating.
Most common causes of incontinence include obstetric procedures, idiopathic origin, and prior anal surgery. Mean followup is 17.02 months. Follow-up revealed a statistically significant
reduction in Wexner scale score and increase in voluntary anal pressure.
Technique-derived minor complications included: 2 surgical wound infections that led to stimulator withdrawal; 2 patients with pain who were managed conservatively; 1 case of externalization
in a gluteal stimulator; and 1 broken tetrapolar electrode.

Conclusions: sacral nerve stimulation is a simple technique that improves Wexner scores in a statistically significant manner with a
low complications rate.
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Isabel Pascual, Carolina de Carlos González Gómez, Ricardo Ortega, Marta Jiménez Toscano, José Luis Marijuán, Manuel Lomas Espadas, José María Fernández Cebrián, Damián García Olmo y José Antonio Pascual Montero. Sacral nerve stimulation for fecal incontinence . 355-359


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