{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T01:41:32Z","timestamp":1769910092198,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to determine whether the paradigm of surgical intervention for faecal incontinence (FI) has changed between 2000 and 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a multi\u2010centre retrospective study of patients who had undergone either sacral neuromodulation (SNM) or delayed sphincter repair or sphincteroplasty (SR) as a primary surgical intervention for FI in five centres in Europe and one in the United States. The flow of patients according to the intervention, sustainability of the treatment at a minimum follow\u2010up of 5\u00a0years, complications and requirement for further interventions were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 461 patients (median age 56\u00a0years, range 24\u201390\u00a0years, 41 men) had either SNM or SR as an index operation during the study period [SNM 284 (61.6%), SR 177 (38.4%)]. Among SNM patients, there were 169 revisional operations (change of battery and\/or lead, re\u2010siting or removal). At the time of last follow\u2010up 203 patients (71.4%) continued to use SNM. Among SR patients, 30 (16.9%) had complications, most notably wound infection (22, 12.4%). During follow\u2010up 32 patients (18.1%) crossed over to SNM. Comparing two 4\u2010year periods (2000\u20132003 and 2007\u20132010), the proportion of patients operated on who had a circumferential sphincter defect of less than 90\u00b0 was 48 (68%) and 45 (46%), respectively (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.03), while those who had SNM as the primary intervention increased from 29% to 89% (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The paradigm of surgical intervention for FI has changed with increasing use of SNM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15349","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T06:37:30Z","timestamp":1600843050000},"page":"710-715","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Changing paradigm of sacral neuromodulation and external anal sphincter repair for faecal incontinence in specialist centres"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2037-0899","authenticated-orcid":false,"given":"K.","family":"Ong","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Western General Hospital Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Bordeianou","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Center Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Brunner","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital Erlangen Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Buntzen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery University Hospital of North Norway Tromsoe Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.H.S.","family":"Collie","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Western General Hospital Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Hanly","sequence":"additional","affiliation":[{"name":"Centre for Colorectal Disease St Vincent's University Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2798-441X","authenticated-orcid":false,"given":"C. W.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Center Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. E.","family":"Matzel","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital Erlangen Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. R.","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"Centre for Colorectal Disease St Vincent's University Hospital Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rydningen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery University Hospital of North Norway Tromsoe Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Savitt","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Center Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Totaro","sequence":"additional","affiliation":[{"name":"Sir Alan Parks Physiology Unit St Mark's Hospital Harrow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. J.","family":"Vaizey","sequence":"additional","affiliation":[{"name":"Sir Alan Parks Physiology Unit St Mark's Hospital Harrow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4081-4741","authenticated-orcid":false,"given":"Y.","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Western General Hospital Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.50.4.480"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9740"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31829d3969"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)05218-6"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181c7642c"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2007.01375.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.920"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000941"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2007.01241.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4545"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181ca7dc2"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001649"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.15349","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T00:06:36Z","timestamp":1693008396000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.15349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,22]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1111\/codi.15349"],"URL":"https:\/\/doi.org\/10.1111\/codi.15349","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,22]]},"assertion":[{"value":"2020-06-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}