sacral nerve stimulation is effective in the treatment of faecal incontinence. however, 15 to 30%...
TRANSCRIPT
Sacral nerve stimulation is effective in the treatment of faecal incontinence. However, 15 to 30% of patients fail to respond post-implantation for unknown reasons. No factors are predictive of secondary failures.
PREDICTIVE FACTORS FOR SUCCESSFUL SACRAL NERVE STIMULATION
IN THE TREATMENT OF FAECAL INCONTINENCE: LESSONS FROM A COMPREHENSIVE TREATMENT ASSESSMENT
Anne-Laure Roy, MD; Guillaume Gourcerol, MD, PhD; Jean-Francois Menard, MD; Francis Michot, MD, PhD; Anne-Marie Leroi, MD, PhD, and Valérie Bridoux, MD, PhD
• Aims of the study
1. Investigate the effect of a three-year sacral nerve stimulation treatment of faecal continence.
2. Identify specific predictive factors from the pre- and per-treatment assessments for the mid-term success of SNS.
IMPLANTS 60 Pre-implantation assessment
IMPLANTS 45
Post-implantation assessment
• Effect of sacral nerve stimulation at the 3 year follow-up
60 patients
33 patientsSuccessful outcome
ITT = 31.7%PP = 55%
22 patientsUnsuccessful outcome
ITT = 24.7%PP = 36.7%
5 missing severity score
12 patientsDevice failures
7 patientsexplanted/
switched off device
3 patientswithdrew from study
• Why did some patients show no improvement post-implantation?
• Predictive factors for the mid-term success of sacral nerve stimulation