Document Detail


Neuromodulation for fecal and urinary incontinence: functional results in 57 consecutive patients from a single institution.
MedLine Citation:
PMID:  23135587     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : Sacral nerve stimulation is a recognized treatment for fecal and urinary incontinence. Few articles have been published about patients presenting with both types of incontinence.
OBJECTIVE: : The aim of this study was to report the functional results in patients operated on for simultaneous fecal and urinary incontinence by the use of sacral nerve stimulation.
DESIGN: : This study is a retrospective analysis of prospectively collected data.
SETTINGS: : The investigation was conducted in the academic departments of colorectal surgery and urology.
PATIENTS: : Between January 2001 and March 2010, 57 consecutive patients (54 women) with a mean age of 58 years (range, 16-76) were included.
INTERVENTIONS: : Two-stage sacral nerve modulation (test and implant) was performed.
MAIN OUTCOME MEASURES: : Functional study before testing, at 6 months, and at the end of follow-up after implantation included the use of the Cleveland Clinic incontinence score, Urinary Symptoms Profile, Fecal Incontinence Quality of Life score, and the Ditrovie score. Patient satisfaction with the technique was evaluated at a median follow-up of 62.8 months.
RESULTS: : Fecal incontinence improved from 14.1/20 to 7.2/20 at 6 months and 6.9/20 at the end of follow-up. Urinary incontinence, mainly urge incontinence (47% of patients), and urgency frequency (34% of patients) improved at 6 months and end of follow-up, but not retention and dysuria. Specific quality of life was improved for fecal and urinary incontinence at 6 months and end of follow-up. At the end of follow-up, 73% patients were highly satisfied with the technique, but 9% felt their condition had deteriorated. The reoperation rate was 29%, of which 12% were indicated because of a complication.
LIMITATIONS: : This study was limited by its retrospective nature and the multiple causes of incontinence.
CONCLUSION: : Fecal and urinary incontinence, studied by symptoms scores and specific quality-of-life scores, are improved in patients receiving sacral nerve stimulation for double incontinence.
Authors:
Jean-Luc Faucheron; Marine Chodez; Bernard Boillot
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  55     ISSN:  1530-0358     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1278-83     Citation Subset:  IM    
Affiliation:
1 Colorectal Unit, Department of Surgery, University Hospital, Grenoble, France 2 Department of Urology, University Hospital, Grenoble, France.
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