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Weledji EP. Electrophysiological Basis of Fecal Incontinence and Its Implications for Treatment. Ann Coloproctol. 2017;33(5):161-168doi: 10.3393/ac.2017.33.5.161.
Weledji, E. P. (2017). Electrophysiological Basis of Fecal Incontinence and Its Implications for Treatment. Annals of coloproctology, 33(5), 161-168. https://doi.org/10.3393/ac.2017.33.5.161
Weledji, Elroy Patrick. "Electrophysiological Basis of Fecal Incontinence and Its Implications for Treatment." Annals of coloproctology vol. 33,5 (2017): 161-168. doi: https://doi.org/10.3393/ac.2017.33.5.161
Weledji EP. Electrophysiological Basis of Fecal Incontinence and Its Implications for Treatment. Ann Coloproctol. 2017 Oct;33(5):161-168. doi: 10.3393/ac.2017.33.5.161. Epub 2017 Oct 31. PMID: 29159162; PMCID: PMC5683965.
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Ann Coloproctol. 2017 Oct;33(5):161-168. doi: 10.3393/ac.2017.33.5.161. Epub 2017 Oct 31.

Electrophysiological Basis of Fecal Incontinence and Its Implications for Treatment.

Annals of coloproctology

Elroy Patrick Weledji

Affiliations

  1. Department of Surgery and Obstetrics and Gynecology, Faculty of Health Sciences, University of Buea, Buea, Cameroon.

PMID: 29159162 PMCID: PMC5683965 DOI: 10.3393/ac.2017.33.5.161

Abstract

The majority of patients with neuropathic incontinence and other pelvic floor conditions associated with straining at stool have damage to the pudendal nerves distal to the ischial spine. Sacral nerve stimulation appears to be a promising innovation and has been widely adopted and currently considered the standard of care for adults with moderate to severe fecal incontinence and following failed sphincter repair. From a decision-to-treat perspective, the short-term efficacy is good (70%-80%), but the long-term efficacy of sacral nerve stimulation is around 50%. Newer electrophysiological tests and improved anal endosonography would more effectively guide clinical decision making.

Keywords: Biofeedback; Electrophysiology; Incontinence; Neosphincter; Sacral nerve stimulation

Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

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