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Short-term efficacy of sacral nerve stimulation for functional fecal incontinence: a pilot study
Received:December 02, 2019  Revised:January 09, 2020  Click here to download the full text
Citation of this paper:YE Guang-yao,ZHANG Cheng,CUI Zhe.Short-term efficacy of sacral nerve stimulation for functional fecal incontinence: a pilot study[J].Chinese Journal of Clinical Medicine,2020,27(1):75-78
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Author NameAffiliationE-mail
YE Guang-yao Department of Gastrointestinal Surgery, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China  
ZHANG Cheng Department of Gastrointestinal Surgery, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China  
CUI Zhe Department of General Surgery, Baoshan Branch of Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200436, China cuizhe@renji.com 
Abstract:Objective: To assess therapeutic efficacy of sacral nerve stimulation (SNS) for patients with fecal incontinence (FI) without sphincter function defect. Methods: The screening stimulation of 2 weeks was performed in two FI patients without sphincter function defect. The defecation was recorded during the test, and it was effective when FI time reduce ≥ 50% in a week. Cleveland Clinic Florida fecal incontinence score (CCF-FIS) and FI quality of life score (FIQL) were evaluated. Results: At the end of screening, the FI times of 2 patients reduced more than 50%. Urgent defecation control time increased from <1 min to 1-5 min. CCF-FIS score of 2 patients decreased from 15, 16 to 3, 3, respectively. FIQL scale also got a significant improvement. The stimulator was implanted in 2 patients. Conclusions: SNS is safe and effective in FI patients without sphincter defect in short term, and could improve the life quality of the patients.
keywords:fecal incontinence  sacral nerve stimulation  quality of life
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