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Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz

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 th...

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Autores principales: Bananzadeh, Alimohammad, Hosseini, Seyed Vahid, Izadpanah, Ahmad, Izadi, Alireza, Khazraei, Hajar, Zamani, Mozhdeh, Bahrami, Faranak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446578/
https://www.ncbi.nlm.nih.gov/pubmed/31016179
http://dx.doi.org/10.4103/abr.abr_202_18
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author Bananzadeh, Alimohammad
Hosseini, Seyed Vahid
Izadpanah, Ahmad
Izadi, Alireza
Khazraei, Hajar
Zamani, Mozhdeh
Bahrami, Faranak
author_facet Bananzadeh, Alimohammad
Hosseini, Seyed Vahid
Izadpanah, Ahmad
Izadi, Alireza
Khazraei, Hajar
Zamani, Mozhdeh
Bahrami, Faranak
author_sort Bananzadeh, Alimohammad
collection PubMed
description 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.
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spelling pubmed-64465782019-04-23 Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz Bananzadeh, Alimohammad Hosseini, Seyed Vahid Izadpanah, Ahmad Izadi, Alireza Khazraei, Hajar Zamani, Mozhdeh Bahrami, Faranak Adv Biomed Res Brief Report 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. Wolters Kluwer - Medknow 2019-03-20 /pmc/articles/PMC6446578/ /pubmed/31016179 http://dx.doi.org/10.4103/abr.abr_202_18 Text en Copyright: © 2019 Advanced Biomedical Research http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Brief Report
Bananzadeh, Alimohammad
Hosseini, Seyed Vahid
Izadpanah, Ahmad
Izadi, Alireza
Khazraei, Hajar
Zamani, Mozhdeh
Bahrami, Faranak
Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz
title Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz
title_full Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz
title_fullStr Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz
title_full_unstemmed Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz
title_short Outcomes of Implementation of Sacral Nerve Stimulation in Incontinent Patients in Shiraz
title_sort outcomes of implementation of sacral nerve stimulation in incontinent patients in shiraz
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446578/
https://www.ncbi.nlm.nih.gov/pubmed/31016179
http://dx.doi.org/10.4103/abr.abr_202_18
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