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Sacral Nerve Stimulation and Fecal Incontinence: Current Uses and Emerging Trends
Journal article   Open access

Sacral Nerve Stimulation and Fecal Incontinence: Current Uses and Emerging Trends

Jennifer E Hrabe
Obstetrics and Gynaecology Cases - Reviews, Vol.3(3), 088
06/30/2016
DOI: 10.23937/2377-9004/1410088
url
https://doi.org/10.23937/2377-9004/1410088View
Published (Version of record) Open Access

Abstract

Fecal incontinence (FI) is a socially devastating condition affecting both men and women. Patients often suffer in silence, as FI is frequently unreported. It is commonly seen in patients who also experience urinary incontinence (UI). Risk factors for FI include obstetrical trauma as well as increasing age. Until recently, treatment options were limited and consisted of medical therapy or surgical options with limited efficacy or high morbidity. Initially used for UI, sacral nerve stimulation has emerged as a successful treatment modality for FI. Its mechanism of action is incompletely understood though is thought to work on afferent pathways. We survey the current use of SNS in FI as well as evolving applications for this therapy.

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