Predictors of the outcome of percutaneous nerve evaluation for faecal incontinence

The British Journal of Surgery
Y MaedaS Laurberg

Abstract

The aim was to identify patient-related and operative factors that might predict the outcome of percutaneous nerve evaluation (PNE). Demographic data (age, sex, body mass index), primary cause of incontinence, number and type of incontinence episodes, results of endoanal ultrasonography and manometry, and operative factors from 244 patients who underwent PNE for faecal incontinence were reviewed. Each factor was assessed according to the outcome, and explored by univariable and multivariable analysis to identify predictors. Some 191 patients (78.3 per cent) had a successful PNE. A low amplitude of sensory threshold during PNE (odds ratio (OR) 0.69 (95 per cent confidence interval 0.59 to 0.81); P < 0.001) and lead placement anterior to the sacral cortex (OR 9.06 (4.70 to 17.45); P < 0.001) were positive predictive factors for successful outcome of PNE. Neither a defect nor an abnormality of either the external (OR 0.88 (0.39 to 1.97); P = 0.749) or internal (OR 0.62 (0.27 to 1.42); P = 0.255) anal sphincter was a negative predictive factor. Demographic variables, number of incontinence episodes and the motor response threshold did not predict outcome. No preoperative predictor of PNE outcome could be identified. Predictors were...Continue Reading

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Citations

Feb 10, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F H Hetzer
Feb 10, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T C Dudding
Apr 9, 2013·Techniques in Coloproctology·E FallettoD F Altomare
Apr 20, 2014·International Journal of Colorectal Disease·Jakob Duelund-JakobsenCor Baeten
Dec 8, 2010·The British Journal of Surgery·Y MaedaS Laurberg
Oct 10, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D F AltomareR Digennaro
Jan 22, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Y MaedaUNKNOWN European SNS Bowel Study Group
Dec 1, 2014·International Journal of Colorectal Disease·Siriluck PrapasrivorakulIan Lindsey
Jan 16, 2016·Therapeutic Advances in Gastroenterology·Jakob Duelund-JakobsenKlaus Krogh
Apr 12, 2018·Neurourology and Urodynamics·Howard B GoldmanSteven W Siegel
Jun 29, 2017·Female Pelvic Medicine & Reconstructive Surgery·Toyia James-StevensonAndrea Shin
Jul 21, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M B RydningenS Norderval
Jul 3, 2013·Annals of Surgery·Yasuko MaedaSøren Laurberg
Jul 28, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M B RydningenS Norderval
Mar 8, 2017·The American Journal of Case Reports·Gouri Sreepati, Toyia James-Stevenson
Jul 7, 2018·Female Pelvic Medicine & Reconstructive Surgery·Avita K PahwaUduak U Andy

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