Sacral nerve modulation and other treatments in patients with faecal incontinence after unsuccessful pelvic floor rehabilitation: a prospective study
| Autor: | Marije Deutekom, Jarno Melenhorst, Cor G. M. I. Baeten, W.G. van Gemert, Ö Uludag, Jaap Stoker, S. M. P. Koch |
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| Přispěvatelé: | Public and occupational health, Amsterdam Gastroenterology Endocrinology Metabolism, Cancer Center Amsterdam, Radiology and Nuclear Medicine, RS: NUTRIM - R2 - Gut-liver homeostasis, Surgery, Algemene Heelkunde |
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Male
biofeedback STIMULATION medicine.medical_specialty Sacral nerve modulation medicine.medical_treatment faecal incontinence Lumbosacral Plexus Electric Stimulation Therapy Biofeedback Quality of life QUALITY-OF-LIFE Medicine Outpatient clinic Humans Prospective Studies Treatment Failure SPHINCTER Adverse effect Prospective cohort study NEUROMODULATION business.industry pelvic floor rehabilitation Gastroenterology Rectum Biofeedback Psychology Middle Aged Surgery Electrodes Implanted Exercise Therapy body regions Lumbosacral plexus medicine.anatomical_structure Quality of Life Sphincter Female sacral nerve stimulation TRIAL Implant BIOFEEDBACK TREATMENT business Fecal Incontinence DYNAMIC GRACILOPLASTY |
| Zdroj: | Colorectal disease, 12(4), 334-341. Wiley-Blackwell Colorectal Disease, 12(4), 334-341. Wiley |
| ISSN: | 1463-1318 1462-8910 |
| Popis: | Objectives Sacral Nerve Modulation is a minimally invasive technique for the treatment of faecal incontinence. This study investigates the results of sacral nerve modulation after negative outcome of a standardized pelvic floor rehabilitation program for the treatment of faecal incontinence. Patients and methods A prospective cohort study was performed between December 2001 and August 2007. Consecutive patients who visited the outpatient department for faecal incontinence were included in a multicentre study and treated with standardized pelvic floor rehabilitation. Those with an unsuccessful result who were eligible for sacral nerve modulation were included in the present study. Failures at test stimulation or sacral nerve modulation received another treatment. Clinical outcome, Vaizey scores and quality of life (EQ-5D and HAQL) were assessed during follow-up in patients with sacral nerve modulation and in patients with other treatments. Adverse events were documented. Results Thirty-five patients (mean age 59.7 years; 31 females) were included. Twenty-one had a successful test stimulation and 19 patients proceeded to a sacral nerve modulation implant. Incontinence episodes per week decreased significantly from 11.1+/-11.7 to 1.9+/-2.6 during test stimulation (p |
| Databáze: | OpenAIRE |
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