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Functional results and patient satisfaction with Sacral Nerve Stimulation for idiopathic faecal incontinence

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  • Jakob Duelund-Jakobsen, Denmark
  • Bart van Wunnik
  • ,
  • Steen Buntzen, Denmark
  • Lilli Lundby, Denmark
  • Cor Baeten
  • ,
  • Søren Laurberg
Background:  Sacral Nerve Stimulation (SNS) is an established treatment for faecal incontinence (FI) when conservative modalities have failed to restore continence. Aim:  This two-center study aimed to document functional outcome and its relationship to patient satisfaction. Patients/methods:  Patients treated with SNS for idiopathic FI in Aarhus, Denmark and Maastricht, The Netherlands were included. At most recent follow-up 127 patients (80%) were identified with active SNS-therapy. A questionnaire considering bowel habits, quality of life, self reported satisfaction and a 3-week bowel habit diary were mailed to these patients, 85% responded. Results:  Patient satisfaction was clearly related to number of FI episodes. Patients experiencing full continence were all satisfied, satisfaction rate dropped as FI episodes increased. But still forty-six percent of the patients with more FI episodes at follow-up than baseline were satisfied. Per-protocol-analysis resulted in a satisfaction rate of 57.3%. In total 74.7% of the patients with active SNS-therapy had ≥50% reduction in FI episodes, 10.3% of whom were dissatisfied after a median 46 months follow-up. Conclusions:  There is a clear relation between patient satisfaction and improved continence. A total of 57.3% of the patients offered SNS-therapy were satisfied at follow-up. However, 46% of the patients with more FI episodes at follow-up than baseline were satisfied. Therefore, functional outcome of SNS-therapy cannot be based only on bowel habit diaries and bowel scores.
Translated title of the contributionFunktionelle resultater og patienttilfredshed med Sakral Nerve Stimulation for idiopatisk fækal inkontinens
Original languageEnglish
JournalNeurourology and Urodynamics
Pages (from-to)753-759
Publication statusPublished - 2012

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