Sacral nerve stimulation for faecal incontinence and constipation: a <scp>E</scp>uropean consensus statement

Maeda, Yasuko; O'Connell, P. R.; Lehur, Paul‐Antoine; Matzel, Klaus E.; Laurberg, Søren

doi:10.1111/codi.12905

Cited by 88 publications

(72 citation statements)

References 149 publications

(172 reference statements)

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“…There is a large and growing body of evidence that a defect of the internal or external sphincter is not a contraindication for SNM for FI . Though clinical success has been reported in patients with sphincter defects up to 180 degrees, most would agree that the size of the defect does not matter and should not affect decision making .…”

Section: Fecal Incontinence (Fi)mentioning

confidence: 99%

International Continence Society best practice statement for use of sacral neuromodulation

Goldman

Lloyd

Noblett

et al. 2018

Neurourology and Urodynamics

134

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Section: Fecal Incontinence (Fi)mentioning

confidence: 99%

International Continence Society best practice statement for use of sacral neuromodulation

Goldman

Lloyd

Noblett

et al. 2018

Neurourology and Urodynamics

134

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“…These findings may indicate that severe concomitant urinary incontinence is a predictor of successful outcome after SNM for combined faecal and urinary incontinence. The absence of evidence makes this hypothesis difficult to substantiate [30,31].…”

Section: Discussionmentioning

confidence: 99%

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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“…The patient should have slow transit constipation and/or symptoms of outlet obstruction without a mechanically correctable cause". 34 Studies have shown improvement in objective outcomes after SNM using anorectal physiology, defecography and or transit times. 35 Ganio et al found increased maximum squeeze pressure as well as a reduction in the volume needed for urge sensation (p<0.01).…”

Section: Constipationmentioning

confidence: 99%

Sacral Neuromodulation in Urological Practice

Liberman

Ehlert

Siegel

2017

Urology

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Sacral nerve stimulation for faecal incontinence and constipation: a European consensus statement

Abstract: Consensus was achieved on the majority of domains of SNS/SNM for FI and constipation. This should serve as a benchmark for safe and quality practice of SNS/SNM in Europe.

Cited by 88 publications

References 149 publications

International Continence Society best practice statement for use of sacral neuromodulation

International Continence Society best practice statement for use of sacral neuromodulation

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

Sacral Neuromodulation in Urological Practice

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