Sacral nerve stimulation for faecal incontinence in patients with sacral malformation

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autor(en): Brunner M, Cui Z, Matzel K
Zeitschrift: International Journal of Colorectal Disease
Jahr der Veröffentlichung: 2017
Band: 32
Heftnummer: 6
Seitenbereich: 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-Autoren / FAU-Herausgeber

Brunner-Schobloch, Michaela
Professur für Translationale Frauenheilkunde und Geburtshilfe


Zusätzliche Organisationseinheit(en)
Lehrstuhl für Allgemein- und Viszeralchirurgie


Autor(en) der externen Einrichtung(en)
Shanghai Jiao Tong University / 上海交通大学


Zitierweisen

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: 

Zuletzt aktualisiert 2018-07-10 um 02:22