Anorectal angle at rest predicting successful sacral nerve stimulation in idiopathic fecal incontinence-a cohort analysis.

Content Provider	Europe PMC
Author	Kollmann, Cathérine T. Pretzsch, Elise B. Kunz, Andreas Isbert, Christoph Krajinovic, Katica Reibetanz, Joachim Kim, Mia
Abstract	PurposeSacral nerve stimulation is an effective treatment for patients suffering from fecal incontinence. However, less is known about predictors of success before stimulation. The purpose of this study was to identify predictors of successful sacral nerve stimulation in patients with idiopathic fecal incontinence.MethodsConsecutive female patients, receiving peripheral nerve evaluation and sacral nerve stimulation between September 2008 and October 2014, suffering from idiopathic fecal incontinence were included in this study. Preoperative patient’s characteristics, anal manometry, and defecography results were collected prospectively and investigated by retrospective analysis. Main outcome measures were independent predictors of treatment success after sacral nerve stimulation.ResultsFrom, all in all, 54 patients suffering from idiopathic fecal incontinence receiving peripheral nerve evaluation, favorable outcome was achieved in 23 of 30 patients after sacral nerve stimulation (per protocol 76.7%; intention to treat 42.6%). From all analyzed characteristics, wide anorectal angle at rest in preoperative defecography was the only independent predictor of favorable outcome in multivariate analysis (favorable 134.1 ± 13.9° versus unfavorable 118.6 ± 17.1°).ConclusionsAnorectal angle at rest in preoperative defecography might present a predictor of outcome after sacral nerve stimulation in patients with idiopathic fecal incontinence.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7648741&blobtype=pdf
ISSN	01791958
Journal	International Journal of Colorectal Disease [Int J Colorectal Dis]
Volume Number	35
DOI	10.1007/s00384-020-03720-w
PubMed Central reference number	PMC7648741
Issue Number	12
PubMed reference number	32812091
e-ISSN	14321262
Language	English
Publisher	Springer Berlin Heidelberg
Publisher Date	2020-08-18
Publisher Place	Berlin/Heidelberg
Access Restriction	Open
Rights License	Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2020
Subject Keyword	Sacral nerve stimulation Idiopathic fecal incontinence Sacral neuromodulation Anorectal angle
Content Type	Text
Resource Type	Article
Subject	Gastroenterology