| Title | Treatment of Slow Transit Constipation with Sacral Nerve Modulation. | | Author(s) | Naldini G, Martellucci J, Moraldi L, Balestri R, Rossi M | | Institution | General Surgery IV, Hospital of Pisa, Italy. | | Source | Colorectal Dis 2009 Oct 19. | | Abstract | ABSTRACT
Aim: Constipation is common with many causes. Selection of treatment is difficult, especially for Slow-Transit Constipation (STC). The aim of the study was to asses the effect of sacral nerve modulation (SNM) on STC. Method: A retrospective analysis of patients with STC, treated with SNM was undertaken. All were evaluated by cinedefecography, colon transit time estimation, and the determination if the Wexner Constipation Score (CCS), SF-36 quality of life (QoL) assessment. Initially all patients underwent a temporary implant for 4 weeks. The criteria of success were disappearance of necessity of laxatives or enema requirement, and improvement in QoL
Results: Fifteen patients with by STC were treated from March 2003 to May 2006. Nine (60%) underwent permanent implantation. After SNM, the mean improvement of CCS and QoL was 10 and 6.2 respectively. There were no complications. The mean follow-up period was 42 months.
Conclusion: SNM seems to be an useful option for STC. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19843118 |
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