Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz
نویسندگان
1 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
4 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
6 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
7 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
doi
چکیده
Background: Fecal incontinence is a common disorder in old age; however, it may not threaten life, but it can cause morbidity and many problems. Sacral nerve stimulation (SNS) is a minimally invasive surgical procedure performed by chronic electrical stimulation of the nerves in the sacral plexus through a lead implanted at the S3 foramen. This study aimed to evaluate the outcomes of SNS in Shiraz. Materials and Methods: Data from patients who underwent implantation of an SNS device from 2012 to 2018 were reviewed in Shiraz. Thirty patients who had incontinence were evaluated by a committee. Pre- and postoperative assessments of the severity of incontinence were performed using Wexner Incontinence Score. Statistical analysis was performed using paired t-test. Results: Twenty-seven patients proceeded to insertion in the temporary SNS, and of these, 16 were elected to have a permanent SNS. Finally, seven patients were satisfied with their treatment. There was a significant reduction in the pre- and post-SNS Wexner Incontinence Scores from a median of 15–10, respectively (P < 0.05). Conclusion: In our study, 16 patients underwent SNS protocol, and 43.7% of them showed a good response and recovered. It is recommended as a method for the treatment of fecal incontinence. Permanent SNS is effective, showing a significant improvement in fecal incontinence scores.
