title: Sphincteroplasty for fecal incontinence in the era of sacral nerve modulation.
abstract: The role of sphincteroplasty in the treatment of patients with fecal incontinence due to anal sphincter defects has been questioned because the success rate declines in the long-term. A new emerging treatment for fecal incontinence, sacral nerve stimulation, has been shown to be effective in these patients. However, the success rate of sphincteroplasty may depend of several patient-related and surgical-related factors and the outcome from sphincteroplasty has been evaluated differently (with qualitative data) from that after sacral nerve stimulation (quantitative data using scoring systems and quality of life). Furthermore, the data available so far on the long-term success rate after sacral nerve modulation do not differ substantially from those after sphincteroplasty. The actual data do not support the replacement of sphincteroplasty with sacral nerve stimulation in patients with fecal incontinence secondary to sphincter defects.
authors.forename: Donato F
authors.initials: DF
authors.lastname: Altomare
authors.forename: Michele
authors.initials: M
authors.lastname: De Fazio
authors.forename: Ramona Tiziana
authors.initials: RT
authors.lastname: Giuliani
authors.forename: Giorgio
authors.initials: G
authors.lastname: Catalano
authors.forename: Filippa
authors.initials: F
authors.lastname: Cuccia
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000294:innervation / Q000601:surgery; D004599:Electric Stimulation Therapy / Q000379:methods*; D005242:Fecal Incontinence / Q000601:surgery*; D005260:Female; D006801:Humans; D008160:Lumbosacral Plexus / Q000502:physiology*; D008875:Middle Aged; D016896:Treatment Outcome