Sacral nerve stimulation for neurogenic faecal incontinence
作者： B. Holzer , H. R. Rosen , G. Novi , C. Ausch , N. Hölbling
DOI: 10.1002/BJS.5499
关键词: Fecal incontinence 、 Anal canal 、 Medicine 、 Cohort study 、 Urinary incontinence 、 Prospective cohort study 、 Surgery 、 Preoperative care 、 Lumbosacral plexus 、 Saline
摘要: Background: Sacral nerve stimulation (SNS) has emerged as a promising technique for the treatment of faecal incontinence. This study assessed outcome SNS in cohort patients with incontinence neurological aetiology. Methods: Thirty-six were included trial SNS. Twenty-nine subsequently had permanent implant. Evaluation consisted continence diary, anal manometry, saline retention testing and quality life assessment. Results: After median follow-up 35 (range 3–71) months, 28 showed marked improvement or complete recovery continence. Incontinence to solid liquid stool decreased from 7 4–15) 2 0–5) episodes 21 days (P = 0·002). Saline time increased 2–15) min Maximum resting squeeze canal pressures compared preoperative values. Quality on all scales among who received implant at 12 24 months after operation. Conclusion: SNS is value selected neurogenic Copyright © 2007 British Journal Surgery Society Ltd. Published by John Wiley & Sons,
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