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

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Kirss , J , Pinta , T , Rautio , T , Varpe , P , Kairaluoma , M , Hyöty , M , Hurme , S , Böckelman , C , Kairaluoma , V , Salmenkylä , S & Victorzon , M 2018 , ' Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for faecal incontinence : results from a Finnish national cohort study ' , International Journal of Colorectal Disease , vol. 33 , no. 12 , pp. 1709-1714 . https://doi.org/10.1007/s00384-018-3161-0

Title: Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for faecal incontinence : results from a Finnish national cohort study
Author: Kirss, Jaan; Pinta, Tarja; Rautio, Tero; Varpe, Pirita; Kairaluoma, Matti; Hyöty, Marja; Hurme, Saija; Böckelman, Camilla; Kairaluoma, Valtteri; Salmenkylä, Sinikka; Victorzon, Mikael
Contributor: University of Helsinki, University of Helsinki
University of Helsinki, Clinicum
Date: 2018-12
Language: eng
Number of pages: 6
Belongs to series: International Journal of Colorectal Disease
ISSN: 0179-1958
URI: http://hdl.handle.net/10138/268043
Abstract: PurposeThe 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).MethodsPatients 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.ResultsA 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).ConclusionsResults 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.
Subject: Faecal incontinence
Sacral neuromodulation
Endoanal ultrasound
Obstetric anal sphincter injury
Anal sphincter repair
PERCUTANEOUS NERVE EVALUATION
INTACT ANAL-SPHINCTER
PREDICTIVE FACTORS
STIMULATION
INJURY
DEFECTS
ULTRASONOGRAPHY
PREVALENCE
MANAGEMENT
MODULATION
3121 General medicine, internal medicine and other clinical medicine
3126 Surgery, anesthesiology, intensive care, radiology
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