{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:41:13Z","timestamp":1783021273074,"version":"3.54.6"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Sacral nerve stimulation (\n                      <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content>\n                      ) is an accepted first\u2010line surgical treatment for faecal incontinence (\n                      <jats:styled-content style=\"fixed-case\">FI<\/jats:styled-content>\n                      ) with variable success. This study aims to analyse the parameters that may predict initial and sustained success with\n                      <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content>\n                      in patients with FI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective audit was conducted on 56 patients with FI managed with SNS implantation by a single Australian colorectal surgeon. A successful outcome was defined as a 50% or greater reduction in the number of FI episodes per week at the end of the two\u2010week trial period (temporary stimulation) or at their last follow\u2010up visit (permanent implantation). Patient characteristics, pre\u2010implantation anal manometry, endoanal ultrasound and electrophysiological testing were compared on univariate analysis between success and failure groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Temporary stimulation was successful in 53.6% of patients. Thirty patients proceeded to permanent SNS with 21 (70%) patients having ongoing success over a median follow\u2010up of 50.2\u2009months. BMI\u2009&gt;\u200925 and reduced maximal tolerable volume on pre\u2010implantation anal manometry studies predicted success of temporary SNS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02, respectively). Whereas a history of vaginal or bladder prolapse surgery predicted failure of temporary SNS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study identified baseline BMI &gt;\u200925 and relative hypersensitivity of rectal distension predicted success of temporary SNS. A history of previous surgery for vaginal or bladder prolapse was associated with failure. We failed to identify any clinical or pre\u2010assessment parameter that predicted long\u2010term success with permanent stimulation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70663","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T05:58:07Z","timestamp":1775541487000},"page":"1734-1739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of Success With Sacral Nerve Stimulation for Faecal Incontinence\u2014Results From a Single Centre Over 15\u2009Years"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6731-6101","authenticated-orcid":false,"given":"Rakesh","family":"Quinn","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Nepean Hospital  Kingswood New South Wales Australia"},{"name":"University of Sydney, Nepean Clinical School, Faculty of Medicine and Health  Sydney New South Wales 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