Sacral Nerve Neuromodulation in the Treatment of Faecal Incontinence

Czech version

Authors: P. Vlček ¹; I. Čapov ¹; L. Veverková ¹ ; J. Korbička ¹; J. Cagaš ¹; P. Vlčková ²; Jiří Dolina ² ; D. Bartušek ³; H. Streitová ⁴
Authors‘ workplace: I. chirurgická klinika LF MU a FN u sv. Anny v Brně ¹; Interní gastroenterologická klinika LF MU a FN Brno ²; Radiologická klinika LF MU a FN Brno ³; I. neurologická klinika LF MU a FN u sv. Anny v Brně ⁴
Published in: Cesk Slov Neurol N 2014; 77/110(3): 349-352
Category: Short Communication

Podporováno grantovým projektem IGA MZ ČR 10249– 3/ 2009.

Overview

Background:
Faecal incontinence causes a high degree of physical, social and psychological impairment. Surgical management is often unsatisfactory, with variable outcome and limited further options. Sacral nerve stimulation uses electrical stimulation applied to the sacral nerves, eliciting a physiological effect on pelvic floor.

Aim:
The aim of our work was to evaluate the effect of sacral nerve neuromodulation in idiopathic faecal incontinence patients.

Methods:
We reviewed the results of sacral nerve neuromodulation according to defined indication criteria. Neuromodulation always followed a rehabilitation, including the use of biofeedback. We analyzed exact measurements of anal sphincters (anorectal manometry).

Results:
Neuromodulation improved faecal incontinence significantly in more than 50% patients. Anorectal manometry values correlate with subjective improvement in symptoms.

Conclusion:
Neuromodulation is a minimally invasive method that effectively corrects faecal incontinence with minimal morbidity.

Key words:
faecal incontinence – neuromodulation – anal sphincters

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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