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Electrical Stimulation of Sacral Spinal Nerves Treatment of Faecal Incontinence
Lancet 346:1124-1127, Matzel,K.E.,et al, 1995
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Article Abstract
Functional deficits of the striated anal sphincteric muscles without any apparent gross defect often result in a lack of ability to postpone defecation by intention or in faecal incontinence in response to increased intra-abdominal or intra-rectal pressure.We applied electrostimulation to the sacral spinal nerves to increase function of the striated muscles of the anal sphincter.Of three patients followed for 6 months,two gained full continence and one improved form gross incontinence to minor soiling. Closure pressure of the anal canal increased for all.Preliminary data indicate that anal closure pressure increases with the duration of stimulation.Continuous stimulation of sacral spinal nerves can help some patients with faecal incontinence.It may be possible to promote continence with intermittent stimulation.
 
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electrical stimulation
incontinence,fecal
treatment of neurologic disorder

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