Publication details
Neuromodulace sakrálních nervů při řešení inkontinence stolice
| Title in English | Sacral Nerve Neuromodulation in the Treatment of Faecal Incontinence |
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| Authors | |
| Year of publication | 2014 |
| Type | Article in Periodical |
| Magazine / Source | Česká a Slovenská neurologie a neurochirurgie |
| MU Faculty or unit | |
| Citation | |
| Field | Surgery incl. transplantology |
| Keywords | faecal incontinence; neuromodulation; anal sphincters |
| Description | Background: Faecal incontinence causes a high degree of physical, social and psychological impairment. Surgical management is often unsatisfactory, with variable outcome and limited further options. Sacral nerve stimulation uses electrical stimulation applied to the sacral nerves, eliciting a physiological effect on pelvic floor. Aim: The aim of our work was to evaluate the effect of sacral nerve neuromodulation in idiopathic faecal incontinence patients. Methods: We reviewed the results of sacral nerve neuromodulation according to defined indication criteria. Neuromodulation always followed a rehabilitation, including the use of biofeedback. We analyzed exact measurements of anal sphincters (anorectal manometry). Results: Neuromodulation improved faecal incontinence significantly in more than 50% patients. Anorectal manometry values correlate with subjective improvement in symptoms. Conclusion: Neuromodulation is a minimally invasive method that effectively corrects faecal incontinence with minimal morbidity. |