Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor Dysfunctions
Objective Few studies have addressed the use of sacral nerve stimulation (SNS) in the treatment of patients with multiple pelvic floor dysfunctions (PFD). So, we evaluated the functional outcomes and level of satisfaction with SNS in selected patients with one or multiples PFD. Methods A...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2023-06-01
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| Series: | Journal of Coloproctology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769923 |
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| author | Sthela M. Murad-Regadas Erico de Carvalho Holanda Carolina M. Regadas Amanda Souza Moreira Larissa M. Camara Fernandes Erica Uchoa Holanda Marina Murad Regadas Emanuella C. Murad da Cruz |
| author_facet | Sthela M. Murad-Regadas Erico de Carvalho Holanda Carolina M. Regadas Amanda Souza Moreira Larissa M. Camara Fernandes Erica Uchoa Holanda Marina Murad Regadas Emanuella C. Murad da Cruz |
| author_sort | Sthela M. Murad-Regadas |
| collection | DOAJ |
| description | Objective Few studies have addressed the use of sacral nerve stimulation (SNS) in the treatment of patients with multiple pelvic floor dysfunctions (PFD). So, we evaluated the functional outcomes and level of satisfaction with SNS in selected patients with one or multiples PFD.
Methods A prospective database was used to collect information on eligible patients treated for PFD with SNS, and severity of symptoms was assessed with scores and satisfaction rates by visual analogue scale (VAS) at baseline and by the end of follow-up.
Results We recruited 70 patients, 98.6% of whom responded positively during the evaluation period (Global Response Assessment ≥ 50% for at least one type of PFD), resulting in the implantation of a permanent SNS device. Additionally, 49 of the patients (71%) had a single PFD (fecal incontinence [FI] = 38; constipation/obstructed defecation syndrome [C/ODS] = 11), while 20 (29%) had more than one PFD (double incontinence/n = 12; double incontinence + C/ODS/n = 8). All scores improved significantly between baseline (pre-SNS) and the end of follow-up (post-SNS), as did VAS in all groups (single and multiple PFD). The pre-SNS scores were higher in patients with a single PFD, including FI (Cleveland clinic Florida incontinence score [CCF-FI]) and C/ODS (Cleveland clinic constipation score [C-CCF] and the Renzi ODS score). The pre-SNS impact of VAS scores was similar in all groups (single and multiple PFD), but the VAS (post-SNS) was significantly lower (better response) for FI alone compared with multiple PFD.
Conclusion The SNS technique is an effective and safe option for patients with one or more PFD refractory to conservative measures. Response was positive for at least two PFD, based on reduced correspondent scores and satisfaction rate. |
| first_indexed | 2024-03-13T03:35:37Z |
| format | Article |
| id | doaj.art-9c47c94d813546428359b6d05a46943b |
| institution | Directory Open Access Journal |
| issn | 2237-9363 2317-6423 |
| language | English |
| last_indexed | 2024-03-13T03:35:37Z |
| publishDate | 2023-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Journal of Coloproctology |
| spelling | doaj.art-9c47c94d813546428359b6d05a46943b2023-06-23T22:50:27ZengThieme Revinter Publicações Ltda.Journal of Coloproctology2237-93632317-64232023-06-01430210410910.1055/s-0043-1769923Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor DysfunctionsSthela M. Murad-Regadas0Erico de Carvalho Holanda1Carolina M. Regadas2Amanda Souza Moreira3Larissa M. Camara Fernandes4Erica Uchoa Holanda5Marina Murad Regadas6Emanuella C. Murad da Cruz7Department of Surgery, School of Medicine of the Federal University of Ceará, Fortaleza, CE, BrazilDepartment of Surgery, School of Medicine of the UNICHRISTUS, Fortaleza, CE, BrazilDepartment of Surgery, School of Medicine of the UNICHRISTUS, Fortaleza, CE, BrazilDepartment of Surgery, School of Medicine of the UNICHRISTUS, Fortaleza, CE, BrazilDepartment of Surgery, School of Medicine of the UNICHRISTUS, Fortaleza, CE, BrazilDepartment of Surgery, School of Medicine of the UNICHRISTUS, Fortaleza, CE, BrazilDepartment of Surgery, School of Medicine of the UNIFOR, Fortaleza, CE, BrazilDepartment of Surgery, School of Medicine of the UNICHRISTUS, Fortaleza, CE, BrazilObjective Few studies have addressed the use of sacral nerve stimulation (SNS) in the treatment of patients with multiple pelvic floor dysfunctions (PFD). So, we evaluated the functional outcomes and level of satisfaction with SNS in selected patients with one or multiples PFD. Methods A prospective database was used to collect information on eligible patients treated for PFD with SNS, and severity of symptoms was assessed with scores and satisfaction rates by visual analogue scale (VAS) at baseline and by the end of follow-up. Results We recruited 70 patients, 98.6% of whom responded positively during the evaluation period (Global Response Assessment ≥ 50% for at least one type of PFD), resulting in the implantation of a permanent SNS device. Additionally, 49 of the patients (71%) had a single PFD (fecal incontinence [FI] = 38; constipation/obstructed defecation syndrome [C/ODS] = 11), while 20 (29%) had more than one PFD (double incontinence/n = 12; double incontinence + C/ODS/n = 8). All scores improved significantly between baseline (pre-SNS) and the end of follow-up (post-SNS), as did VAS in all groups (single and multiple PFD). The pre-SNS scores were higher in patients with a single PFD, including FI (Cleveland clinic Florida incontinence score [CCF-FI]) and C/ODS (Cleveland clinic constipation score [C-CCF] and the Renzi ODS score). The pre-SNS impact of VAS scores was similar in all groups (single and multiple PFD), but the VAS (post-SNS) was significantly lower (better response) for FI alone compared with multiple PFD. Conclusion The SNS technique is an effective and safe option for patients with one or more PFD refractory to conservative measures. Response was positive for at least two PFD, based on reduced correspondent scores and satisfaction rate.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769923neuromodulationsacral nerve stimulationfecal pelvic floor disordersfecal incontinence |
| spellingShingle | Sthela M. Murad-Regadas Erico de Carvalho Holanda Carolina M. Regadas Amanda Souza Moreira Larissa M. Camara Fernandes Erica Uchoa Holanda Marina Murad Regadas Emanuella C. Murad da Cruz Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor Dysfunctions Journal of Coloproctology neuromodulation sacral nerve stimulation fecal pelvic floor disorders fecal incontinence |
| title | Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor Dysfunctions |
| title_full | Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor Dysfunctions |
| title_fullStr | Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor Dysfunctions |
| title_full_unstemmed | Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor Dysfunctions |
| title_short | Functional Outcomes and Satisfaction Rates of Sacral Nerve Stimulation in the Treatment of One and Multiples Pelvic Floor Dysfunctions |
| title_sort | functional outcomes and satisfaction rates of sacral nerve stimulation in the treatment of one and multiples pelvic floor dysfunctions |
| topic | neuromodulation sacral nerve stimulation fecal pelvic floor disorders fecal incontinence |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1769923 |
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