Sacral Nerve Stimulation in the Treatment of Anal Incontinence
Authors:
P. Lochman 1,2; J. Páral 1,2; K. Šmejkal 1,2; T. Dušek 1,2
Authors‘ workplace:
Katedra válečné chirurgie FVZ UO, Hradec Králové
1; Chirurgická klinika FN, Hradec Králové
2
Published in:
Čas. Lék. čes. 2008; 147: 236-239
Category:
Special Articles
Overview
Anal incontinence is defined as the loss of control of defecation. An estimated prevalence is about 20 %, it increases with age and women are affected more frequently. Sacral nerve stimulation is a new treatment method with success rate nearly of 80 %. It consists of two phases, temporary percutaneous nerve evaluation and permanent stimulation. The best results may be achieved in patients with anatomically intact sphincters, although indication criteria are still not uniform. Mechanism of action remains also unclear.
Authors summarise aetiology of anal incontinence, describe the method of sacral nerve stimulation, indications and bring present published results of this method. The aim of this paper is to inform about the new treatment option which has not been yet used in the Czech Republic.
Key words:
anal incontinence, sacral nerve stimulation.
Sources
1. Nelson, R., Norton, N., Cautley, E., Furner, S.: Community-based prevalence of anal incontinence. JAMA, 1995, 274, s. 559–561.
2. Johanson, J. F., Lafferty, J.: Epidemiology of fecal incontinence: the silent affliction. Am. J. Gastroenterol., 1996, 91, s. 33–36.
3. Keighley, M. R. B.: Faecal incontinence. In: Keighley, M. R. B., Swillaims, N. Surgery of the Anus, Rectum and Colon. 1st edition London, W. B. Saunders Company Ltd., 1993, 516–609.
4. Rao, S. S. C.: Diagnosis and Management of Fecal Incontinence. American Journal of Gastroenterology, 2004, 99, s. 1585–1604.
5. Way, L. W. et al.: Současná chirurgická diagnostika a léčba. 1. vyd. Praha, Grada Publishing, 1998, 1660 s.
6. Tanagho, E. A., Schmidt, R. A.: Bladder pacemaker: Scientific basis and clinical future. Urology, 1982, 20, s. 614–619.
7. Brindley, G. S.: Treatment of urinary and faecal incontinence by surgically implanted devices. Ciba Found. Symp., 1990, 151, s. 267–274.
8. Müller, CH., Belyaev, O., Deska, T. et al.: Fecal incontinence: an up-to date critical overview of surgical treatment options. Langenbecks Arch. Surg., 2005, 390, s. 544–552.
9. Ganio, E., Luc, A. R., Clerico, G., Trompetto, M.: Sacral Nerve Stimulation for Treatment of Fecal Incontinence: A Novel Approach for Intractable Fecal Incontinence. Dis. Colon Rectum, 2001, 44, s. 619–629.
10. Pillinger, S. H., Gardiner, A., Duthie, G. S.: Sacral Nerve Stimulation for Faecal Incontinence. Dig. Surg., 2005, 22, s. 1–5.
11. Gourcerol, G., Gallas, S., Michot, F. et al.: Sacral Nerve Stimulation in Fecal Incontinence: Are There Factors Associated with Success? Dis. Col. Rectum, 2006, 50, s. 3–12.
12. Vaizey, C. J., Kamm, M. A., Turner, I. C. et al.: Effects of short term sacral nerve stimulation on anal and rectal function in patients with anal incontinence. Gut, 1999, 44, s. 407–412.
13. Kenefick, N. J., Vaizey, C. J., Cohen, R. C. G. et al.: Medium-term results of permanent sacral nerve stimulation for faecal incontinence. B. J. Surg., 2002, 89, s. 896–901.
14. Matzel, K. E., Kamm, M. A., Stosser, M. et al. and the MDT 301 Study Group. Sacral spinal nerve stimulation for faecal incontinence: multicentre study. Lancet, 2004, 363, s. 1270–1276.
15. Leroi, A.-M., Parc, Y., Lehur, P.-A. et al. and Study Group. Efficacy of Sacral Nerve Stimulation for Fecal Incontinence: Results of a Multicenter Double-Blind Crossover Study. Ann. Surg., 2005, 242, s. 662–669.
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
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