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Title of Journal: Int J Colorectal Dis

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Abbravation: International Journal of Colorectal Disease

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Springer Berlin Heidelberg

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DOI

10.1002/2014JD021965

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1432-1262

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Sacral neuromodulation for fecal incontinence and

Authors: Urte Zurbuchen Joern Groene Susanne D Otto Martin E Kreis Stefanie Maerzheuser
Publish Date: 2014/07/05
Volume: 29, Issue: 10, Pages: 1297-1302
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Abstract

Patients with ARM with or without sacral dysgenesis who presented with fecal incontinence constipation or combined symptoms were treated with sacral nerve stimulation SNS Success of SNS was assessed by scores preoperatively and after a 3week test period Cleveland Clinic Incontinence Score CCI Surgical Working Group for Coloproctology CACP continence score German version of the Fecal Incontinence Quality of Life Scale and Cleveland Clinic Constipation Score CCCS The followup results of the patients who received a definitive pacemaker were used to evaluate the longterm effect of SNS in patients with ARMFour patients with fecal incontinence and one patient with constipation two males three females median age 24 years 13 31 were treated with SNS between May 2012 and May 2013 Four patients had a normal sacrum one patient had a sacral dysgenesis Preoperatively and after the test phase median CACP continence scores were 8 1 10 and 115 3 16 median CCI 14 12 19 and 13 11 17 and median Fecal Incontinence Quality of Life Scale improved in all categories For constipation CCCSs were 16 and 7Sacral neuromodulation is a feasible treatment modality for adult patients with ARM with a normally developed sacrum Patients with sacrum dysgenesis are not suited for SNS because a definitive quadripolar electrode could not be anchored in the absence of a sacral bone

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