| Autor: |
Bruno Bonaz, Simon Dupuy, Nicolas Cardin, R. Bost, Virginie Duffournet, Jean-Luc Faucheron |
| Rok vydání: |
2006 |
| Předmět: |
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| Zdroj: |
Gastroentérologie Clinique et Biologique. 30:669-672 |
| ISSN: |
0399-8320 |
| DOI: |
10.1016/s0399-8320(06)73259-6 |
| Popis: |
INTRODUCTION: Sacral neuromodulation is a recognized therapeutic option in severe anal incontinence from neurogenic origins, when medical treatment has failed. METHODS: We report the results of this procedure applied in 40 consecutive patients operated on by a single surgeon from August 2001 to June 2004. Mean duration of incontinence was 5 years. There were 33 women and 7 men of mean age 59 (range 29-89). All patients had had medical treatment, 26 had had physiotherapy and 9 had been previously operated on for that problem. Neuromodulation consisted in a temporary electrical stimulation test followed by implantation of a stimulator in case of efficacy. RESULTS: Twenty nine patients had a positive test and were implanted. Ten had a negative test and one is waiting for implantation. From the 29 patients, 23 had uneventful postoperative course. Incontinence score varied from 17 before neuromodulation to 6 after in the 24 patients who were improved. Mean resting pressure, mean maximum squeeze pressure and mean duration of squeeze pressure did not change from pre to postoperative period. CONCLUSION: Sacral neuromodulation is a safe and efficacious procedure in properly selected anal incontinent patients. However, we observed no correlation between clinical and manometric data. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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