A dual benefit of sacral neuromodulation

Adrian Indar, Tonia Young-Fadok, Jeffrey L Cornella

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Sacral neuromodulation is a therapeutic option for women with detrusor overactivity and more recently has been used in patients with fecal incontinence and slow-transit constipation. A 47-year-old woman presented with chronic constipation since childhood. She used multiple laxatives, fiber supplements, and enemas, all without success, and defecated only once per week. Extensive investigations, including barium enema, colonoscopy, defecating proctography, pelvic magnetic resonance imaging, and anorectal manometry all were normal. A transit study showed delayed small-bowel emptying. Colonic transit could not be accurately interpreted because of the marked delayed in proximal transit. An ileostomy was being considered to defunction the colon after the patient become desperate for a better quality of life. She also complained of severe urinary frequency and incomplete emptying. A cystoscopy was normal, and a temporary sacral neuromodulation device was inserted as a staged procedure to improve her urinary symptoms. From the day of device placement and thereafter, the patient defecated without difficulty and has also been free of bladder symptoms. Repeat colonic transit has shown normalization of the stomach, small bowel, and colon.

Original languageEnglish (US)
Pages (from-to)219-222
Number of pages4
JournalSurgical Innovation
Volume15
Issue number3
DOIs
StatePublished - 2008

Fingerprint

Constipation
Colon
Equipment and Supplies
Laxatives
Ileostomy
Fecal Incontinence
Cystoscopy
Enema
Manometry
Colonoscopy
Stomach
Urinary Bladder
Quality of Life
Magnetic Resonance Imaging
Therapeutics
Barium Enema

Keywords

  • Colon transit
  • Sacral neuromodulation
  • Slow-transit constipation
  • Urinary frequency

ASJC Scopus subject areas

  • Surgery

Cite this

A dual benefit of sacral neuromodulation. / Indar, Adrian; Young-Fadok, Tonia; Cornella, Jeffrey L.

In: Surgical Innovation, Vol. 15, No. 3, 2008, p. 219-222.

Research output: Contribution to journalArticle

Indar, Adrian ; Young-Fadok, Tonia ; Cornella, Jeffrey L. / A dual benefit of sacral neuromodulation. In: Surgical Innovation. 2008 ; Vol. 15, No. 3. pp. 219-222.
@article{969e8e448a27467ba65d36936c94750d,
title = "A dual benefit of sacral neuromodulation",
abstract = "Sacral neuromodulation is a therapeutic option for women with detrusor overactivity and more recently has been used in patients with fecal incontinence and slow-transit constipation. A 47-year-old woman presented with chronic constipation since childhood. She used multiple laxatives, fiber supplements, and enemas, all without success, and defecated only once per week. Extensive investigations, including barium enema, colonoscopy, defecating proctography, pelvic magnetic resonance imaging, and anorectal manometry all were normal. A transit study showed delayed small-bowel emptying. Colonic transit could not be accurately interpreted because of the marked delayed in proximal transit. An ileostomy was being considered to defunction the colon after the patient become desperate for a better quality of life. She also complained of severe urinary frequency and incomplete emptying. A cystoscopy was normal, and a temporary sacral neuromodulation device was inserted as a staged procedure to improve her urinary symptoms. From the day of device placement and thereafter, the patient defecated without difficulty and has also been free of bladder symptoms. Repeat colonic transit has shown normalization of the stomach, small bowel, and colon.",
keywords = "Colon transit, Sacral neuromodulation, Slow-transit constipation, Urinary frequency",
author = "Adrian Indar and Tonia Young-Fadok and Cornella, {Jeffrey L}",
year = "2008",
doi = "10.1177/1553350608321318",
language = "English (US)",
volume = "15",
pages = "219--222",
journal = "Surgical Innovation",
issn = "1553-3506",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - A dual benefit of sacral neuromodulation

AU - Indar, Adrian

AU - Young-Fadok, Tonia

AU - Cornella, Jeffrey L

PY - 2008

Y1 - 2008

N2 - Sacral neuromodulation is a therapeutic option for women with detrusor overactivity and more recently has been used in patients with fecal incontinence and slow-transit constipation. A 47-year-old woman presented with chronic constipation since childhood. She used multiple laxatives, fiber supplements, and enemas, all without success, and defecated only once per week. Extensive investigations, including barium enema, colonoscopy, defecating proctography, pelvic magnetic resonance imaging, and anorectal manometry all were normal. A transit study showed delayed small-bowel emptying. Colonic transit could not be accurately interpreted because of the marked delayed in proximal transit. An ileostomy was being considered to defunction the colon after the patient become desperate for a better quality of life. She also complained of severe urinary frequency and incomplete emptying. A cystoscopy was normal, and a temporary sacral neuromodulation device was inserted as a staged procedure to improve her urinary symptoms. From the day of device placement and thereafter, the patient defecated without difficulty and has also been free of bladder symptoms. Repeat colonic transit has shown normalization of the stomach, small bowel, and colon.

AB - Sacral neuromodulation is a therapeutic option for women with detrusor overactivity and more recently has been used in patients with fecal incontinence and slow-transit constipation. A 47-year-old woman presented with chronic constipation since childhood. She used multiple laxatives, fiber supplements, and enemas, all without success, and defecated only once per week. Extensive investigations, including barium enema, colonoscopy, defecating proctography, pelvic magnetic resonance imaging, and anorectal manometry all were normal. A transit study showed delayed small-bowel emptying. Colonic transit could not be accurately interpreted because of the marked delayed in proximal transit. An ileostomy was being considered to defunction the colon after the patient become desperate for a better quality of life. She also complained of severe urinary frequency and incomplete emptying. A cystoscopy was normal, and a temporary sacral neuromodulation device was inserted as a staged procedure to improve her urinary symptoms. From the day of device placement and thereafter, the patient defecated without difficulty and has also been free of bladder symptoms. Repeat colonic transit has shown normalization of the stomach, small bowel, and colon.

KW - Colon transit

KW - Sacral neuromodulation

KW - Slow-transit constipation

KW - Urinary frequency

UR - http://www.scopus.com/inward/record.url?scp=49849088203&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=49849088203&partnerID=8YFLogxK

U2 - 10.1177/1553350608321318

DO - 10.1177/1553350608321318

M3 - Article

C2 - 18757382

AN - SCOPUS:49849088203

VL - 15

SP - 219

EP - 222

JO - Surgical Innovation

JF - Surgical Innovation

SN - 1553-3506

IS - 3

ER -