Sacral nerve stimulation for faecal incontinence in patients with sacral malformation

Journal article


Publication Details

Author(s): Brunner M, Cui Z, Matzel K
Journal: International Journal of Colorectal Disease
Publication year: 2017
Volume: 32
Journal issue: 6
Pages range: 929-931
ISSN: 0179-1958


Abstract


Sacral nerve stimulation (SNS) is a common and effective treatment for faecal incontinence (FI), but accessibility of the sacral nerves is mandatory. In some cases, electrode placement fails for unknown reasons. A frequent cause could be sacral malformations, which have a high incidence (up to 24.1%) and can be unsuspected.We report two patients with FI consequent to congenital anorectal malformation and associated sacral malformation. Despite partial sacral agenesis, SNS was feasible in both. They benefitted greatly from SNS, with an improved ability to postpone the urge up to at least 15 min, reduced incontinence episodes (at least 50%), and significantly better quality of life.SNS may be feasible in patients with FI, even in the presence of sacral malformation. However, clinicians should be aware of the attendant technical difficulties. Preoperative imaging, preferably with MRI of the sacrum, is advisable. If the sacral spinal nerves are inaccessible technically, pudendal nerve stimulation could be considered, if anatomy permits.



FAU Authors / FAU Editors

Brunner-Schobloch, Michaela
Professur für Translationale Frauenheilkunde und Geburtshilfe


Additional Organisation
Lehrstuhl für Allgemein- und Viszeralchirurgie


External institutions
Shanghai Jiao Tong University / 上海交通大学


How to cite

APA:
Brunner, M., Cui, Z., & Matzel, K. (2017). Sacral nerve stimulation for faecal incontinence in patients with sacral malformation. International Journal of Colorectal Disease, 32(6), 929-931. https://dx.doi.org/10.1007/s00384-016-2748-6

MLA:
Brunner, Michaela, Z. Cui, and Klaus Matzel. "Sacral nerve stimulation for faecal incontinence in patients with sacral malformation." International Journal of Colorectal Disease 32.6 (2017): 929-931.

BibTeX: 

Last updated on 2018-07-10 at 02:22

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