Document Detail

Sacral nerve stimulation for the treatment of faecal incontinence following low anterior resection for rectal cancer.
MedLine Citation:
PMID:  19843119     Owner:  NLM     Status:  In-Process    
AIM: The aim of this study was to assess the effectiveness of sacral nerve stimulation (SNS) in the management of faecal incontinence following neoadjuvant therapy and low anterior resection (LAR) for rectal cancer.
METHOD: In a prospective single-centre study, 15 patients (12 men, median age 72 years) were enrolled between 2005 and 2008. All had severe incontinence after total mesorectal excision, and 14 had received preoperative full-course chemoradiotherapy. The patients were followed up for a median of 50 (range: 24-144) months. There was no recurrence (local or distal). Incontinence was evaluated using the Cleveland Clinic Florida Fecal Incontinence (CCF-FI) scoring system. Quality of life (QoL) was evaluated using the Fecal Incontinence Quality of Life (FIQL) questionnaire. SNS was performed in three stages.
RESULTS: During percutaneous nerve evaluation (PNE), a good response was observed in seven patients, all of whom received a permanent implant. The median follow up was 12 (range: 1-44) months. The mean CCF-FI score was reduced from 19.2 [standard deviation (SD) 1.2] to 6.2 (SD 1.7) (P < 0.01). The mean number of days per week with an incontinent episode decreased from 7 (SD 0) to 0.2 (SD 0.3) (P < 0.01), and the mean number of defaecations per week decreased from 42.5 (SD 13.7) to 13.2 (SD 7.4) (P < 0.01). In the five patients with a permanent implant who were followed up for longer than 6 months, all FIQL scores improved. An increase in the mean resting and squeeze pressures was seen in four patients with a permanent implant.
CONCLUSIONS: SNS is a treatment option for faecal incontinence after LAR for rectal cancer.
M de Miguel; F Oteiza; M A Ciga; P Armendáriz; J Marzo; H Ortiz
Related Documents :
15484349 - Sacral neuromodulation in patients with fecal incontinence: a single-center study.
15217169 - Long term results of anterior colporrhaphy with kelly plication for the treatment of st...
20350759 - Hydronephrosis caused by ureterosciatic herniation.
18408389 - Tension-free vaginal tape and autologous rectus fascia pubovaginal sling for the treatm...
4019999 - Incidence and correlates of incontinence in stroke patients.
16249789 - Long-term efficacy of ams 800 artificial urinary sphincter in male patients with urodyn...
16026699 - C reactive protein and skin temperature post total knee replacement.
24828099 - The effects of theophylline on hospital admissions and exacerbations in copd patients: ...
20970749 - Preoperative use of incentive spirometry does not affect postoperative lung function in...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  13     ISSN:  1463-1318     ISO Abbreviation:  Colorectal Dis     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  72-7     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Colorectal Disease © 2010 The Association of Coloproctology of Great Britain and Ireland.
Department of Surgery, Hospital Virgen del Camino, Universidad Pública de Navarra, Pamplona, Spain.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Treatment of slow-transit constipation with sacral nerve modulation.
Next Document:  Influence of a Threatened-Species Focus on Conservation Planning.