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Master Thesis

Neuromodulation des racines sacrées pour double incontinence fécale et urinaire‎ : résultats fonctionnels des patients traités au CHU de Grenoble

Abstract : INTRODUCTION: Sacral nerve stimulation is a validated technique to treat both fecal and urinary incontinence. Only few studies report results in double incontinence. Our study aims to evaluate functionnal results of patients treated in Grenoble for a double incontinence (fecal and urinary). MATERIALS AND METHODS: 56 patients were included, all suffering from double incontinence. Surgical procedures were performed between january 2001 and march 2010, by two surgeons. Patients were evaluated with score symptoms questionnaires (Wexner, Urinary Symptom Profile) and quality of life questionnires (Fecal Incontinence Quality of Life, Ditrovie), that we sent to them by mail. A telephonic consulting was also leaded to evaluate with numeric scale patient's satisfaction about sacral nerve stimulation. RESULTS: Fecal incontinence is severe in our population (average 14,1/20) and significantly better after sacral nerve stimulation (average 7,2/20). Urinary incontinence, mostly urgency incontinence (47%) or mixte (34%), improved significantly except for stress incontinence and dysuria. Specific quality of life improve for both fecal and urinary incontinence. Numeric scale show 73% satisfied patients and 9% of patients feeling deteriorate with sacral nerve stimulation. Rate of reintervention is 29%, among wich 12% of complications, mostly pain. CONCLUSION: Although our study is retrospective, it seems that sacral nerve stimulation is an effective and safe treatment for double incontinence (fecal and urinary incontinence).
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00625512
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Submitted on : Thursday, October 6, 2011 - 2:31:22 PM
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Marine Chodez. Neuromodulation des racines sacrées pour double incontinence fécale et urinaire‎ : résultats fonctionnels des patients traités au CHU de Grenoble. Médecine humaine et pathologie. 2010. ⟨dumas-00625512⟩

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