R15
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ->18 years -neurogenic fecal incontinence -muscular fecal incontinence: only small lesion of the sphincter (max. 1/4 of circumference -Anatomy of the os sacrum, that complicates or prohibits standard-SNS -signed informed consent
Exclusion criteria
Exclusion criteria: -<18 years -primary neurologic degenerative reason for fecal incontinence -coagulopathy -infectons like pneumonia, infection of the urinary tract, infection of soft tissue with danger of bacteriemia -rectal surgery via abdominal access -pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -positive peripheral nerve evaluation via electromyogram || -number of indications for permanent SNS || -clinical response to tSNS (temporare SNS): clinical and a significant subjective improvement for the patient (stool diary-score and Wexner-score) | — |
Secondary
| Measure | Time frame |
|---|---|
| -number of complications || -duration of intervention || -improvement of anal compression (anal manometry) || -improvement of concomitant urinary incontinence | — |
Countries
Germany
Contacts
Universitätsklinikum Freiburg Abteilung für Allgemein- und Viszeralchirurgie