Sacral neuromodulation for fecal incontinence and “low anterior resection syndrome” following neoadjuvant therapy for rectal cancer

Schwandner, O.

doi:10.1007/s00384-013-1687-8

Cited by 56 publications

(63 citation statements)

References 32 publications

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“…However, not much is known about the effects of sacral neuromodulation in patients with previous anorectal surgery. In his recent study, Schwandner showed that sacral neuromodulation greatly improved symptoms in nine patients with low anterior resection syndrome after rectal resection and radiotherapy for rectal cancer [21]. Despite the fact that a loss in effectiveness of approximately 10 per cent is demonstrated within 5 years, sacral neuromodulation still remains an effective long-term treatment option [2].…”

Section: Discussionmentioning

confidence: 99%

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

et al. 2015

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SummaryTwo female patients with faecal incontinence resistant to conservative treatment but improved after percutaneous tibial nerve neuromodulation were treated with sacral nerve neuromodulation in 2014. Quality of Life questionnaires were used in order to determine the impact of faecal incontinence on everyday life before and after the implantation of the stimulator. To evaluate the functional state, Wexner's questionnaires were applied. Bowel movement diary was used to detect the improvement of faecal continence before and after temporary and permanent neuromodulation. The data were analyzed using a Statistical Package for Social Sciences program (SPSS, version 22.0). All values were given as mean ± SD. P-values less than 0.05 were accepted to indicate statistical significance. Both patients had a reduction in episodes of incontinence and soiling during a 3 week temporary nerve stimulation period as well as during 3 week followup after permanent stimulator implantation. Statistically significant elevation of faecal urgency frequency (p=0.031) was observed during temporary nerve stimulation. Reduction of episodes of faecal incontinence (p=0.001) and soiling (p=0.000) was observed after permanent stimulator implantation. Both patients presented an improvement in lifestyle, coping, depression and embarrassment as well as an improvement in functional state 3 weeks after the beginning of sacral nerve stimulation. Conclusions: The first results of sacral neuromodulation in patients with faecal incontinence are excellent and very promising.

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Section: Discussionmentioning

confidence: 99%

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

et al. 2015

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“…In the literature, the experience with sacral neuromodulation in patients with fecal incontinence related to the anterior resection syndrome is still limited [53][54][55][56][57]. However, this minimally invasive therapeutic option been considered as the first choice in surgical treatment when conservative therapies fail [54][55][56].…”

Section: Treatment Of Fecal Incontinencementioning

confidence: 98%

Effects of Radiation Therapy for Rectal Cancer on Anorectal Function

Jorge

Habr‐Gama

Bustamante-Lopez

2015

Radiation Therapy for Pelvic Malignancy and Its Consequences

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“…However, measuring sexual dysfunction in a sufficiently large crc population, while accounting for various confounding and interacting variables, is a challenging task. A miscellany of interventions to ease bowel dysfunction-such as physical therapy, biofeedback, anal sphincter repair, manipulation of bowel flora with antibiotics, and use of sacral neuromodulation-have been tried, and some seem to deliver benefit, but others do not [80][81][82][83] . However, we could find no reviews that investigated the effectiveness of any such interventions in crc patients or survivors.…”

Section: Alcoholmentioning

confidence: 99%

Survivorship Care Plans for People with Colorectal Cancer: Do They Reflect the Research Evidence?

2016

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AimIn the present study, we synthesized the published literature about the psychosocial aspects of colorectal cancer (crc) survivorship to support an update of the evidentiary base of the survivorship care plans (scps) created in our jurisdiction. MethodsThe psychosocial topics identified in the crc scps created by two different initiatives in our province were used as search criteria: quality of life (qol), sexual function, fatigue, and lifestyle behaviors. An umbrella review was conducted to retrieve the best possible evidence. Only reviews that investigated the intended outcomes in crc survivors and those with moderate-to-high methodologic quality scores were included. ResultsOf 462 retrieved reports, eight reviews met the inclusion criteria for the synthesis. Of those eight, six investigated the challenges of crc survivors and two investigated the effect of physical activity on survivor wellbeing. Our results indicate that emotional and physical challenges are common in crc survivors and that physical activity is associated with clinically important benefits for the fatigue and physical functioning of crc survivors. ConclusionsOur study findings update the evidence and indicate that existing scps in our province concerning the physical and emotional challenges of crc survivors reflect the evidence at the time of their issue. However, the literature concerning cancer risks specific to crc survivors is lacking. Although systematic reviews are considered to be the "gold standard" in knowledge synthesis, our findings suggest that much remains to be done in the area of synthesis research to better guide practice in cancer survivorship.

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Sacral neuromodulation for fecal incontinence and “low anterior resection syndrome” following neoadjuvant therapy for rectal cancer

Abstract: Preliminary results of sacral neuromodulation in patients with fecal incontinence and symptoms of "low anterior resection syndrome" are promising and enrich the therapeutic modalities if conservative management has failed.

Cited by 56 publications

References 32 publications

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

Sacral Neuromodulation for the Treatment of Faecal Incontinence: First Steps in Lithuania

Effects of Radiation Therapy for Rectal Cancer on Anorectal Function

Survivorship Care Plans for People with Colorectal Cancer: Do They Reflect the Research Evidence?

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