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Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 21

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

Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence Address:
Dr. Faranak Bahrami
Zand Street, Shaheed Faghihi Hospital, Colorectal Research Center, Shiraz
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2277-9175.254624

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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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