title: [Does urinary sacral neuromodulation improve bowel symptoms other than fecal incontinence: A systematic review].
abstract: OBJECTIVE
  To evaluate literature data about urinary sacral neuromodulation and its effects on bowel symptoms other than fecal incontinence.
  
  
  METHODS
  A systematic review was conducted using PubMed/Medline with the following keywords: sacral neuromodulation, urinary incontinence, voiding symptoms, intestinal bowel syndrome, constipation, epidemiology.
  
  
  RESULTS
  Urinary SNS seems to improve intestinal bowel symptoms scores (level of evidence 4). However, for constipation, there are more contrasting results. If symptoms scores seem to improve, QOL scores are not significantly changed. Furthermore, some people reported an aggravation of their constipation symptoms (level of evidence 4). Those contrasted results could be explained by the various causes of constipation which implies various pathophysiological pathways.
  
  
  CONCLUSIONS
  A better evaluation of digestive symptoms in patient candidate to urinary SNS could help identifying patients able to be improve by SNS.
  
  
  METHODS
  4.
authors.affiliation: CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen, France. Electronic address: maximilienbaron@hotmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Baron
authors.affiliation: CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen, France.
authors.forename: L
authors.initials: L
authors.lastname: Grynberg
authors.affiliation: CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen, France.
authors.forename: C
authors.initials: C
authors.lastname: Delcourt
authors.affiliation: CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen, France.
authors.forename: J N
authors.initials: JN
authors.lastname: Cornu
authors.affiliation: CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen, France.
authors.forename: P
authors.initials: P
authors.lastname: Grise
mesh_terms: D004599:Electric Stimulation Therapy; D006801:Humans; D008160:Lumbosacral Plexus; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000628:therapy*
keywords: Constipation; Incontinence urinaire; Intestinal bowel syndrome; Neuromodulation sacrée; Sacral neuromodulation; Syndrome de l’intestin irritable; Urinary incontinence