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- W2115743933 abstract "Abstract Aim The efficacy of sacral nerve stimulation (SNS) to treat faecal incontinence has been demonstrated in the short‐ and mid‐term. We analysed SNS outcome in the first patients with a permanent neurostimulator in whom follow‐up ranges up to 14 years. Method Of 12 patients who underwent SNS from 1994 to 1999, 9 were eligible for long‐term analysis (defined as a minimum of 7 years). In 3 the device had to be removed because of pain or neurological disease. Functional outcome was monitored prospectively by standardized questionnaire. For efficacy, the recorded frequency of incontinent episodes over 2‐week periods and the Wexner Score were obtained yearly after implant. Quality of life measures (FIQL scale [QoL]) were introduced in 1998. Stimulation parameter adjustments, battery longevity, and complications were documented. Results Mean follow‐up in the nine patients was 9.8 years (range 7–14), over which time efficacy persisted. Clinical improvement was significant (baseline vs last follow‐up): median percentage of incontinent bowel movements/week 40% (range 9–100) vs 0% (0–60%; P = 0.008), median number of incontinent episodes/week, 9 (range 2–58) vs 0 (0–29; P = 0.012); median Cleveland Clinic Score, 17 (range 12–19) vs 10 (3–14; P < 0.007); QoL improved in all categories. Pulse generator exchange was required in eight of the nine patients after a mean of 7.4 years for battery fatigue (mean 2.1 V). Complications occurred in five of the original 12 and were therapy‐related, but not technique‐related, in four patients. Conclusion Sacral nerve stimulation is an effective and safe long‐term treatment for faecal incontinence. Clinical outcome is stable over time." @default.
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- W2115743933 date "2009-06-10" @default.
- W2115743933 modified "2023-10-16" @default.
- W2115743933 title "Sacral nerve stimulation for faecal incontinence: long-term outcome" @default.
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- W2115743933 doi "https://doi.org/10.1111/j.1463-1318.2008.01673.x" @default.
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