Sacral neuromodulation in the treatment of severe anal incontinence. Forty consecutive cases treated in one institution
| Autor: | Faucheron, Jean-Luc, Bost, Richard, Duffournet, Virginie, Dupuy, Simon, Cardin, Nicolas, Bonaz, Bruno |
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| Přispěvatelé: | Sinniger, Valérie, Unité de Chirurgie Colorectale, CHU Grenoble-Hôpital Michallon, Département de Gastroentérologie et hépatologie, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, Service de Médecine, Centre hospitalier d'Annecy |
| Rok vydání: | 2006 |
| Předmět: |
MESH: Aged
Adult Aged 80 and over Male MESH: Fecal Incontinence MESH: Humans MESH: Middle Aged Sacrococcygeal Region MESH: Electric Stimulation Therapy MESH: Adult Electric Stimulation Therapy Middle Aged MESH: Male MESH: Aged 80 and over Treatment Outcome MESH: Sacrococcygeal Region Humans [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] Female [SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] MESH: Female Fecal Incontinence MESH: Treatment Outcome Aged |
| Zdroj: | Gastroentérologie Clinique et Biologique / Research and Clinics in Hepatology and Gastroenterology Gastroentérologie Clinique et Biologique / Research and Clinics in Hepatology and Gastroenterology, Elsevier Masson, 2006, 30 (5), pp.669-72 |
| ISSN: | 0399-8320 |
| Popis: | International audience; 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 |
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