Document Detail


Sacral nerve stimulation for faecal incontinence in patients with previous partial spinal injury including disc prolapse.
MedLine Citation:
PMID:  15838899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study examined the use of sacral nerve stimulation (SNS) to treat faecal incontinence in patients with partial spinal injury. METHODS: Patients selected for SNS had experienced more than one episode of faecal incontinence per week to liquid or solid stool for more than 1 year and had failed maximal conservative treatment. All patients had an intact external anal sphincter. RESULTS: Temporary SNS was performed in 13 patients (median age 58.5 (range 39-73) years). The spinal insults were disc prolapse (six), trauma (four), spinal stenosis (one) or occurred during neurosurgery (two). Twelve patients (eight women and four men) had successful temporary stimulation and proceeded to permanent implantation. The median follow-up time was 12 (range 6-24) months. The mean(s.d.) number of episodes of incontinence decreased from 9.33(7.64) per week at baseline to 2.39(3.69) at last follow-up (P = 0.012). The number of days per week with incontinence and staining decreased significantly (both P < 0.001). Ability to defer defaecation improved from a median of not being able to defer (range 0-1 min) to being able to defer for 5-15 (range 0 to over 15) min (P = 0.022). CONCLUSION: SNS can benefit patients with faecal incontinence following partial spinal injury.
Authors:
M E D Jarrett; K E Matzel; J Christiansen; C G M I Baeten; H Rosen; B Bittorf; M Stösser; R Madoff; M A Kamm
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of surgery     Volume:  92     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-31     Completed Date:  2005-07-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  734-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright (c) 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Affiliation:
Department of Physiology, St. Mark's Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Electric Stimulation Therapy / adverse effects,  methods*
Electrodes, Implanted
Fecal Incontinence / etiology,  therapy*
Female
Humans
Intervertebral Disk Displacement / complications,  therapy
Lumbosacral Plexus*
Male
Middle Aged
Pain / etiology
Prospective Studies
Quality of Life
Spinal Injuries / complications*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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