Faecal incontinence in patients with a sphincter defect: comparison of sphincteroplasty and sacral nerve stimulation.
Colorectal Dis
; 19(5): 456-461, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-27620162
ABSTRACT
AIM:
Sphincteroplasty (SP) is used to treat faecal incontinence (FI) in patients with a sphincter defect. Although sacral nerve stimulation (SNS) is used in patients, its outcome in patients with a sphincter defect has not been definitively evaluated. We compared the results of SP and SNS for FI associated with a sphincter defect.METHOD:
Patients treated by SNS or SP for FI with an associated sphincter defect were retrospectively identified from an Institutional Review Board approved prospective database. Patients with ultrasound evidence of a sphincter defect were matched by age, gender and body mass index. The main outcome measure was change in the Cleveland Clinic Florida Faecal Incontinence Score (CCF-FIS).RESULTS:
Twenty-six female patients with a sphincter defect were included in the study. The 13 patients in each group were similar for age, body mass index, initial CCF-FIS and the duration of follow-up. No differences were observed in parity (P = 1.00), the rate of concomitant urinary incontinence (P = 0.62) or early postoperative complications. Within-group analysis showed a significant reduction of the CCF-FIS among patients having SNS (15.9-8.4; P = 0.003) but not SP (16.9-12.9; P = 0.078). There was a trend towards a more significant improvement in CCF-FIS in the SNS than in the SP group (post-treatment CCF-FIS 8.4 vs 12.9, P = 0.06). Net improvement in CCF-FIS was not significantly different between the groups (P = 0.06).CONCLUSION:
Significant improvement in CCF-FIS was observed in patients treated with SNS but not SP patients. A trend towards better results was seen with SNS.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Canal Anal
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Terapia por Estimulação Elétrica
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Procedimentos de Cirurgia Plástica
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Incontinência Fecal
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Esfincterotomia
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article