{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T05:42:31Z","timestamp":1769924551620,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:00:00Z","timestamp":1766275200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Faecal incontinence (FI) remains a debilitating condition with considerable psychosocial burden. Rechargeable sacral neuromodulation (rSNM) systems offer extended battery longevity and MRI compatibility, potentially reducing surgical burden. However, real\u2010world data on their efficacy, safety and acceptability remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This single\u2010centre observational cohort study evaluated 37 patients who received rSNM (InterStim\u2122 Micro) for FI between August 2020 and August 2022. Patients completed validated questionnaires (St Mark's FI Score, Rockwood FIQOL, SF\u201036) and a structured telephone interview assessing functional outcomes, adverse events and device satisfaction. Clinical records were reviewed for surgical and 3\u2010 to 5\u2010year follow\u2010up data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median age was 63\u2009years; 61% had a history of obstetric injury. Twenty\u2010eight patients received rSNM as a replacement for non\u2010rechargeable systems. Device satisfaction was low: 62% expressed regret and 96% reported challenges with charging. Connectivity issues affected 86% of patients. Six patients underwent device explantation and two required lead revision. Rockwood FIQOL and SF\u201036 scores indicated persistent impairment in lifestyle, emotional well\u2010being and social functioning. Improvements in continence scores were modest and below expectations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite theoretical advantages, rSNM provided limited clinical benefit in this cohort. High rates of dissatisfaction, management difficulties and surgical revisions raise concerns about its broader applicability. While the smaller device may suit select patients, non\u2010rechargeable systems with extended battery life may represent a more acceptable first\u2010line option. Further studies are needed to better define the role of rSNM in FI management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70344","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T07:44:17Z","timestamp":1766389457000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of rechargeable sacral neuromodulation for faecal incontinence: A single\u2010centre observational study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8819-7404","authenticated-orcid":false,"given":"Michael","family":"Okocha","sequence":"first","affiliation":[{"name":"Sir Alan Park\u2019s Physiology Unit St Mark's the National Bowel Hospital  London UK"},{"name":"Institute of Continuing Education Cambridge University  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4338-596X","authenticated-orcid":false,"given":"Carlotta","family":"La Raja","sequence":"additional","affiliation":[{"name":"Sir Alan Park\u2019s Physiology Unit St Mark's the National Bowel Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stella","family":"Nikolaou","sequence":"additional","affiliation":[{"name":"Sir Alan Park\u2019s Physiology Unit St Mark's the National Bowel Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Cuthbert","sequence":"additional","affiliation":[{"name":"Sir Alan Park\u2019s Physiology Unit St Mark's the National Bowel Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Nasasra","sequence":"additional","affiliation":[{"name":"Sir Alan Park\u2019s Physiology Unit St Mark's the National Bowel Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolynne J.","family":"Vaizey","sequence":"additional","affiliation":[{"name":"Sir Alan Park\u2019s Physiology Unit St Mark's the National Bowel Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory P.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Sir Alan Park\u2019s Physiology Unit St Mark's the National Bowel Hospital  London UK"},{"name":"Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.03.035"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2023.09.004"},{"key":"e_1_2_12_4_1","volume-title":"2018 Surveillance of Faecal Incontinence (NICE Guideline CG49) [Internet]","author":"National Institute of Health and Care Excellence","year":"2018"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000514"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ueg2.12213"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cont.2024.101695"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v23.i1.11"},{"key":"e_1_2_12_9_1","unstructured":"Axonics.Axonics R15 Neurostimulator Implant Manual[Internet].2023. 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