TY - JOUR
T1 - Novel surgical approaches to fecal incontinence
T2 - Neurostimulation and artificial anal sphincter
AU - Zhao, Xiaotuan
AU - Pasricha, Pankaj J.
PY - 2003/10
Y1 - 2003/10
N2 - Neurostimulation, neosphincters with neurostimulation, and implanted artificial sphincters are recently developed therapeutic options for patients with end-stage fecal incontinence. Of these approaches, sacral nerve electric stimulation appears to be the most promising because of its relative simplicity and low morbidity. However, it is best suited for patients with anatomically intact sphincters. The other procedures target patients with gross structural defects in the sphincter but are still in their infancy. In this article we discuss these techniques and review their rationale, mechanisms of action, indications, outcomes, and complications.
AB - Neurostimulation, neosphincters with neurostimulation, and implanted artificial sphincters are recently developed therapeutic options for patients with end-stage fecal incontinence. Of these approaches, sacral nerve electric stimulation appears to be the most promising because of its relative simplicity and low morbidity. However, it is best suited for patients with anatomically intact sphincters. The other procedures target patients with gross structural defects in the sphincter but are still in their infancy. In this article we discuss these techniques and review their rationale, mechanisms of action, indications, outcomes, and complications.
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U2 - 10.1007/s11894-003-0056-0
DO - 10.1007/s11894-003-0056-0
M3 - Review article
C2 - 12959724
AN - SCOPUS:1542705895
SN - 1522-8037
VL - 5
SP - 419
EP - 424
JO - Current gastroenterology reports
JF - Current gastroenterology reports
IS - 5
ER -