Sphincteroplasty for fecal incontinence in the era of sacral nerve modulation

被引：19
作者：
Altomare, Donato F. [1 ,2 ]
De Fazio, Michele [1 ,2 ]
Giuliani, Ramona Tiziana [1 ,2 ]
Catalano, Giorgio [1 ,2 ]
Cuccia, Filippa [1 ,2 ]
机构：
[1] Univ Bari Aldo Moro, Gen Surg Unit, Dept Emergency & Organ Transplantat, I-70124 Bari, Italy
[2] Univ Bari Aldo Moro, Liver Transplantat Unit, Dept Emergency & Organ Transplantat, I-70124 Bari, Italy
来源：
WORLD JOURNAL OF GASTROENTEROLOGY | 2010年 / 16卷 / 42期
关键词：
Fecal incontinence; Sacral nerve stimulation; Sphincteroplasty; EXTERNAL ANAL-SPHINCTER; PUDENDAL NEUROPATHY; OBSTETRIC INJURY; REPAIR; STIMULATION; TERM; ULTRASOUND; TRAUMA; DEFECT;
D O I：
10.3748/wjg.v16.i42.5267
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
The role of sphincteroplasty in the treatment of patients with fecal incontinence due to anal sphincter defects has been questioned because the success rate declines in the long-term. A new emerging treatment for fecal incontinence, sacral nerve stimulation, has been shown to be effective in these patients. However, the success rate of sphincteroplasty may depend of several patient-related and surgical-related factors and the outcome from sphincteroplasty has been evaluated differently (with qualitative data) from that after sacral nerve stimulation (quantitative data using scoring systems and quality of life). Furthermore, the data available so far on the long-term success rate after sacral nerve modulation do not differ substantially from those after sphincteroplasty. The actual data do not support the replacement of sphincteroplasty with sacral nerve stimulation in patients with fecal incontinence secondary to sphincter defects. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码：5267 / 5271
页数：5
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