A1 Refereed original research article in a scientific journal

Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for faecal incontinence: results from a Finnish national cohort study




AuthorsJaan Kirss Jr, Tarja Pinta, Tero Rautio, Pirita Varpe, Matti Kairaluoma, Marja Hyöty, Saija Hurme, Camilla Böckelman, Valtteri Kairaluoma, Sinikka Salmenkylä, Mikael Victorzon

PublisherSpringer Verlag

Publication year2018

JournalInternational Journal of Colorectal Disease

Journal name in sourceInternational Journal of Colorectal Disease

Volume33

Issue12

First page 1709

Last page1714

Number of pages6

ISSN0179-1958

eISSN1432-1262

DOIhttps://doi.org/10.1007/s00384-018-3161-0(external)


Abstract
Purpose
The aim of this multicentre study was to analyse the effects of patent sphincter lesions and previous sphincter repair on the results of sacral neuromodulation (SNM) treatment on patients with faecal incontinence (FI).

Methods
Patients examined by endoanal ultrasound (EAUS) with FI as the indication for SNM treatment were included in the study. Data was collected from all the centres providing SNM treatment in Finland and analysed for differences in treatment outcomes.

Results
A total of 237 patients treated for incontinence with SNM had been examined by EAUS. Of these patients, 33 had a history of previous delayed sphincter repair. A patent sphincter lesion was detected by EAUS in 128 patients. The EAUS finding did not influence the SNM test phase outcome (p = 0.129) or the final treatment outcome (p = 0.233). Patient’s history of prior sphincter repair did not have a significant effect on the SNM test (p = 0.425) or final treatment outcome (p = 0.442).

Conclusions
Results of our study indicate that a sphincter lesion or previous sphincter repair has no significant effect on the outcome of SNM treatment. Our data suggests that delayed sphincter repair prior to SNM treatment initiation for FI is not necessary.



Last updated on 2024-26-11 at 20:19