{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T10:45:54Z","timestamp":1761648354841},"reference-count":47,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,19]],"date-time":"2016-05-19T00:00:00Z","timestamp":1463616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Most studies on sacral nerve stimulation (<jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content>) are either single\u2010centre with small numbers of patients or multi\u2010centre studies. We present the medium\u2010term follow\u2010up results from a single centre for 127 patients undergoing <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive patients treated with <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content> for faecal incontinence had preoperative baseline St Mark's continence scores, faecal incontinence quality of life (<jats:styled-content style=\"fixed-case\">FIQL<\/jats:styled-content>) measures and anorectal physiology studies. Follow\u2010up was a postal questionnaire concerning continence, <jats:styled-content style=\"fixed-case\">FIQL<\/jats:styled-content>, patient\u2010perceived change in bowel control (\u22125 to +5 where 0 is no change), overall satisfaction (0\u201310 visual analogue scale) and use of medications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 166 patients underwent temporary nerve stimulation testing, of which 112 progressed to a permanent implantable pulse generator (<jats:styled-content style=\"fixed-case\">IPG<\/jats:styled-content>). Fifteen received an <jats:styled-content style=\"fixed-case\">IPG<\/jats:styled-content> without the testing phase, hence 127 patients in total. Fourteen had the <jats:styled-content style=\"fixed-case\">IPG<\/jats:styled-content> removed, four were deceased, leaving 109 for assessment; 91 (83%) responded to the survey. Mean follow\u2010up was 2.7\u2009years (range: 2\u2009months\u20138.5\u2009years). Mean baseline St Mark's continence score was 14.4, and mean follow\u2010up score was 10.3 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). <jats:styled-content style=\"fixed-case\">FIQL<\/jats:styled-content> improved in all domains (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Patient\u2010reported improved bowel control mean score was +3.2 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 2.9, 3.55). Median satisfaction score was 8.0 (range: 0\u201310). Complications included 17 lead dislodgements, seven superficial infections, five infections requiring surgery and five repositioning of a rotated <jats:styled-content style=\"fixed-case\">IPG<\/jats:styled-content>. Thirty\u2010two patients used loperamide and 34 used fibre supplements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this observational study, limited by the absence of a placebo control group, <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content> significantly improved continence and quality of life, and patient satisfaction was high.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13605","type":"journal-article","created":{"date-parts":[[2016,5,19]],"date-time":"2016-05-19T20:18:48Z","timestamp":1463689128000},"page":"462-466","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Sacral nerve stimulation for faecal incontinence: medium\u2010term follow\u2010up from a single institution"],"prefix":"10.1111","volume":"87","author":[{"given":"Vicki","family":"Patton","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery St George Hospital, University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Earl","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery St George Hospital, University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Z.","family":"Lubowski","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery St George Hospital, University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31822dd0f0"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463-1318.1999.00044.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31823dfd6d"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237089"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2003.10.056"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e318299c209"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01297069"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gastro.2003.09.039"},{"key":"e_1_2_5_10_1","first-page":"CD002116","article-title":"Drug treatment for faecal incontinence in adults","volume":"6","author":"Omar MI","year":"2013","journal-title":"Cochrane Database Syst. 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