Sacral nerve stimulation in fecal incontinence

Lapointe A, Brophy J
Record ID 32007000611
French
Authors' objectives:

This reports reviews the literature relating to sacral nerve stimulation in the treatment of faecal incontinence.

Authors' results and conclusions: This literature review shows us that sacral nerve stimulation can reduce faecal incontinence episodes in adult patients refractory to conservative treatments. The quality of the studies is not high, the causes of incontinence vary greatly from study to study, and it is accordingly not possible to predict with certainty the extend of benefits to be expected. The complication rate of this technology is not negligible and varies between 5 and 33%, the more prominent adverse event being re-operation for the displacement of the device or electrode. None of these complications had more serious consequences on patient health. We can point out the low number of patients studied and a mean follow up period not long enough.
Authors' recommendations: Although evidence is far from optimal, it does consistently indicate a reduction of faecal incontinence episodes and an increase of quality of life for patients with implants. Although complications rate are high, none had permanent serious consequences. Furthermore, the economic impact to the CHUM would be modest. Consequently, the Direction de l'evaluation des technologies et des modes d'intervention en sante recommends that the CHUM should introduce and support this technology.Monitoring of the clinical outcomes would appear to be appropriate.
Authors' methods: Systematic review
Details
Project Status: Completed
URL for project: http://www.chumtl.qc.ca/userfiles/Image/DETMIS/neuromodulation.pdf
Year Published: 2007
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Electric Stimulation Therapy
  • Fecal Incontinence
Contact
Organisation Name: Centre Hospitalier de l'Universite de Montreal
Contact Address: R4.14 Royal Victoria Hospital, av. des Pins Ouest, Montreal, Quebec H3A 1A1, Canada. Tel: 514-934-1934 ext. 36564 Fax: 514-843-1493
Contact Name: lorraine.mines@muhc.mcgill.ca
Contact Email: lorraine.mines@muhc.mcgill.ca
Copyright: Centre Hospitalier de l'Universite de Montreal(CHUM)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.