Outcome and Cost Analysis of Sacral Nerve Modulation for Treating Urinary and/or Fecal Incontinence

Leroi, Anne‐Marie; Lenne, X.; Dervaux, B.; Chartier‐Kastler, Emmanuel; Mauroy, Brigitte; Normand, L. Le; Grise, P.; Faucheron, Jean‐Luc; Parc, Yann; Lehur, Paul‐Antoine; Mion, François; Damon, Henri; Barth, X.; Leriche, A.; Saussine, C.; Laurent, Césari; Haab, F.; Bresler, L.; Sarramon, Jean‐Pierre; Bensadoun, H.; Rullier, Éric; Slim, K.; Sielezneff, I.; Mourey, E.; Ballanger, P.; Michot, F

doi:10.1097/sla.0b013e318210f1f4

Cited by 60 publications

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“…Our results are comparable with results of SNM for urinary incontinence in general, with improved continence seen in two-thirds of patients after 2 years [25,26]. A retrospective series including 57 patients with double incontinence showed that urinary incontinence improved in 78% of the patients and faecal incontinence in 96% [27].…”

Section: Discussionsupporting

confidence: 75%

Sacral neuromodulation for combined faecal and urinary incontinence following obstetric anal sphincter injury

et al. 2018

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Aim The aim of this study was to investigate the efficacy of sacral neuromodulation (SNM) in the treatment of faecal incontinence and concomitant urinary incontinence in women with a history of obstetric anal sphincter injury (OASIS).Method In this prospective study, consecutive women with faecal incontinence following OASIS accepted for SNM were screened for concomitant urinary incontinence. The primary outcome was the change in urinary incontinence score on the International Consultation on Incontinence Questionnaire for Urinary Incontinence, Short Form (ICIQ-UI-SF), between baseline and 12 months. Secondary outcomes included the change in St Mark's score, sexual function and quality of life, change in grade of urinary incontinence and disappearance of urgency.Results From March 2012 to September 2014, 39 women with combined faecal incontinence and urinary incontinence received SNM. Thirty-seven women were available for analysis after 12 months. The mean reduction in the ICIQ-UI-SF score between the baseline and 12 months was 5.8 (95% CI 3.7-8.0, P < 0.001). ICIQ-UI-SF was reduced in 29 (78%) women, urinary incontinence resolved in 13/37 (35%, 95% CI 20%-50%) patients, and urgency disappeared in 14/33 (42%, 95% CI 26%-59%). The mean reduction in the St Mark's score was 10.6 (95% CI 8.6-12.7, P < 0.001). Disease-specific quality of life, Euroqual 5-dimension visual analogue scale (EQ-5D VAS) and several areas of sexual function changed significantly for the better.Conclusion More than three-quarters of the women with combined faecal and urinary incontinence following OASIS reported a successful outcome with reduction in ICIQ-UI-SF at 12 months after SNM.Keywords Faecal incontinence, urinary incontinence, pelvic floor disorders/dysfunction, obstetric anal sphincter injury, sacral neuromodulation What does this paper add to the literature? A high prevalence of concomitant urinary incontinence was found in a selected group of women with faecal incontinence following obstetric anal sphincter injury treated with sacral neuromodulation. Faecal incontinence and concomitant urinary incontinence were treated successfully in the majority of women.

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Section: Discussionsupporting

confidence: 75%

Sacral neuromodulation for combined faecal and urinary incontinence following obstetric anal sphincter injury

et al. 2018

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“…20 Given the magnitude of these disorders, fecal and urinary incontinence place a significant burden on both society and health care systems. 22 The frequent association between fecal incontinence and functional urinary disorders can be explained by the fact that both types of incontinence share causative factors, including damage to the pelvic floor as a result of vaginal delivery, postoperative pelvic sequelae, common underlying motility disorders such as overactivity, and/or chronic straining to defecate. [23][24][25] The rationale for applying SNS to fecal incontinence was based on the clinical observations made by Matzel and colleagues 26 that SNS in urological patients showed effects on bowel function and anal continence.…”

Section: Discussionmentioning

confidence: 99%

Neuromodulation for Fecal and Urinary Incontinence

Faucheron

Chodez

Boillot

2012

Diseases of the Colon &Amp; Rectum

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“…There are currently six published cost-effectiveness analyses on the specialized treatment of OAB, looking at the national healthcare system's perspective in Spain and France [57,58], the societal perspective in the Netherlands [59 & ]; the payer's perspective in the USA [60], a provincial payers' perspective in Canada [61] and the societal perspective in the USA [62].…”

Section: Cost-effectiveness Of Onabotulinum Toxin a Versus Sacral Neumentioning

confidence: 99%

Male incontinence

Rashid

Ockrim²

2013

Current Opinion in Urology

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Outcome and Cost Analysis of Sacral Nerve Modulation for Treating Urinary and/or Fecal Incontinence

Abstract: The SNM is a cost-effective treatment for urge urinary and/or fecal incontinence.

Cited by 60 publications

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Sacral neuromodulation for combined faecal and urinary incontinence following obstetric anal sphincter injury

Sacral neuromodulation for combined faecal and urinary incontinence following obstetric anal sphincter injury

Neuromodulation for Fecal and Urinary Incontinence

Male incontinence

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